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DR. GARY CARDOSO D.M.D
NPI 1063824878
Dentist in Titusville, FL

Active since May 28, 2014Opted out of Medicare · through Jan 21, 2027
815 CHENEY HWY, TITUSVILLE, FL 32780(321) 268-0108 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Cardoso D.m.d NPPES

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

DR. GARY CARDOSO D.M.D (NPI 1063824878) is an individual dentist in Titusville, Florida, licensed in Florida (DN21441) and active in the NPI registry since May 2014. He has opted out of Medicare through January 21, 2027 and remains eligible to order and refer and maintains a secondary practice location in Cocoa Beach.

NPPES Registry Identity

NPI1063824878
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. GARY CARDOSOCredential: D.M.D
Location Address815 CHENEY HWYTitusville, FL 32780-6960
Mailing Address815 Cheney HwyTitusville, FL 32780-6960 · (321) 268-0180
Phone(321) 268-0108
Sole ProprietorYes
Enumeration DateMay 28, 2014
Last NPPES UpdateSeptember 14, 2018
✔ NPI 1063824878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN21441
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.
815 CHENEY HWY, Titusville, FL 32780
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Secondary Practice Location 1

Location 15675 N Atlantic AveCocoa Beach, FL 32931-3988 · Phone (321) 783-3737

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gary Cardoso D.m.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 21, 2021 through January 21, 2027.

Opt-Out Effective DateJanuary 21, 2021
Opt-Out In Effect ThroughJanuary 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32780 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIDDHI ANITHA PRASANNA
Dentist
815 CHENEY HWY
TITUSVILLE, FL 32780
Brevard County (321) 268-0108
SIDDHI ANITHA PRASANNA PA
Dentist
815 CHENEY HWY
TITUSVILLE, FL 32780
Brevard County (321) 268-0108

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 Gary Cardoso's NPI number?

The NPI number for Gary Cardoso is 1063824878. It was assigned to this individual provider in the NPPES registry on May 28, 2014.

Where is Gary Cardoso located?

Gary Cardoso practices at 815 Cheney Hwy, Titusville, FL 32780. The listed phone number is (321) 268-0108.

What is Gary Cardoso's specialty?

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

Is Gary Cardoso enrolled in Medicare?

No. Gary Cardoso has opted out of Medicare through January 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Gary Cardoso 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 Delta Dental and 2 other insurers list Gary Cardoso 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 Gary Cardoso was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.