DR. FERNANDA GURGEL LEVINE DDS
NPI 1063768034
Dentist in Mc Lean, VA

Active since July 27, 2012PECOS Enrolled
6707 OLD DOMINION DR STE 230, MC LEAN, VA 22101(202) 680-9272 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Fernanda Gurgel Levine Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FERNANDA GURGEL LEVINE DDS (NPI 1063768034) is an individual dentist in Mc Lean, Virginia, licensed in Virginia (0401414679) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063768034
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. FERNANDA GURGEL LEVINECredential: DDS
Location Address6707 OLD DOMINION DR STE 230Mc Lean, VA 22101-4507
Mailing Address6707 Old Dominion Dr Ste 230Mc Lean, VA 22101-4507 · (202) 680-9272
Sole ProprietorNo
Enumeration DateJuly 27, 2012
Last NPPES UpdateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
NPI 1063768034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in VA · 0401414679
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
6707 OLD DOMINION DR STE 230, Mc Lean, VA 22101

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Fernanda Gurgel Levine Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fernanda Levine's NPI number?

The NPI number for Fernanda Levine is 1063768034. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Where is Fernanda Levine located?

Fernanda Levine practices at 6707 Old Dominion Dr Ste 230, Mc Lean, VA 22101. The listed phone number is (202) 680-9272.

What is Fernanda Levine's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Fernanda Levine enrolled in Medicare?

Yes. Fernanda Levine is registered in the Medicare PECOS enrollment system.

What insurance does Fernanda Levine accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Fernanda Levine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fernanda Levine was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.