DR. DEEPTHI MAYA
NPI 1083323406
Dentist in Camdenton, MO

Active since November 15, 2022PECOS Enrolled
1652 N BUSINESS RT 5, CAMDENTON, MO 65020(877) 406-2662 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2025, May 28, 2025, Apr 22, 2024 and 1 more (4 updates tracked since 2022).

About Dr. Deepthi Maya NPPES

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

DR. DEEPTHI MAYA (NPI 1083323406) is an individual dentist in Camdenton, Missouri, licensed in Missouri (2024000916) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083323406
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. DEEPTHI MAYA
Location Address1652 N BUSINESS RT 5Camdenton, MO 65020
Mailing Address126 Raef RdLebanon, MO 65536-4486 · (765) 492-9042
Sole ProprietorNo
Enumeration DateNovember 15, 2022
Last NPPES UpdateJune 25, 20254 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1083323406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MO · 2024000916✔ Licensed in VT · 016.0134149
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.
1652 N BUSINESS RT 5, Camdenton, MO 65020

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Deepthi Maya 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.

Medicare Billing Reassignment

Medicare enrollment records show Deepthi Maya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1652 N BUSINESS ROUTE 5
Camdenton, MO 65020
  • Reassigned Medicare billing, Missouri enrollment
  • 78 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65020 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 Deepthi Maya's NPI number?

The NPI number for Deepthi Maya is 1083323406. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Where is Deepthi Maya located?

Deepthi Maya practices at 1652 N Business Rt 5, Camdenton, MO 65020. The listed phone number is (877) 406-2662.

What is Deepthi Maya's specialty?

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

Is Deepthi Maya enrolled in Medicare?

Yes. Deepthi Maya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deepthi Maya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deepthi Maya reassigns Medicare benefits to Richland Medical Center, Inc. (Camdenton, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deepthi Maya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deepthi Maya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 22 other insurers list Deepthi Maya 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 Deepthi Maya was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.