ABIGAIL LENA ROEDERER DMD
NPI 1073299699
Dentist - Pediatric Dentistry in Greenwood, IN

Active since June 27, 2023PECOS Enrolled
1700 W SMITH VALLEY RD STE B1, GREENWOOD, IN 46142(317) 300-8163 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abigail Lena Roederer Dmd NPPES

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

ABIGAIL LENA ROEDERER DMD (NPI 1073299699) is an individual pediatric dentistry provider in Greenwood, Indiana, licensed in Indiana (12014173A) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Plainfield.

NPPES Registry Identity

NPI1073299699
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameABIGAIL LENA ROEDERERCredential: DMD
Location Address1700 W SMITH VALLEY RD STE B1Greenwood, IN 46142-1589
Mailing Address1700 W Smith Valley Rd Ste B1Greenwood, IN 46142-1589 · (317) 300-8163
Sole ProprietorNo
Enumeration DateJune 27, 2023
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
NPI 1073299699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in IN · 12014173A
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1700 W SMITH VALLEY RD STE B1, Greenwood, IN 46142

Secondary Practice Location 1

Location 16100 Clarks Creek RdPlainfield, IN 46168-8766 · Phone (317) 900-1665

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Abigail Lena Roederer Dmd 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 46142 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 Abigail Roederer's NPI number?

The NPI number for Abigail Roederer is 1073299699. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Abigail Roederer located?

Abigail Roederer practices at 1700 W Smith Valley Rd Ste B1, Greenwood, IN 46142. The listed phone number is (317) 300-8163.

What is Abigail Roederer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Abigail Roederer enrolled in Medicare?

Yes. Abigail Roederer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abigail Roederer was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.