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DR. PHILLIP MURRAY BLY DDS
NPI 1083715353
Dentist in Indianapolis, IN

Active since September 26, 2006Opted out of Medicare · through Jan 1, 2028
7126 N SHADELAND AVE, SUITE B, INDIANAPOLIS, IN 46250(317) 842-6402(317) 842-6403 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Phillip Murray Bly Dds NPPES

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

DR. PHILLIP MURRAY BLY DDS (NPI 1083715353) is an individual dentist in Indianapolis, Indiana, licensed in Indiana (12007762A) and active in the NPI registry since September 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083715353
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PHILLIP MURRAY BLYCredential: DDS
Location Address7126 N SHADELAND AVE, SUITE BIndianapolis, IN 46250
Mailing Address7126 N Shadeland Ave, Suite BIndianapolis, IN 46250 · (317) 842-6402 · Fax (317) 842-6403
Phone(317) 842-6402
Fax(317) 842-6403
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083715353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12007762A
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.
7126 N SHADELAND AVE, Indianapolis, IN 46250
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include TRUASSURE INSURANCE COMPANY.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Phillip Murray Bly Dds 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 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-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 46250 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 Phillip Bly's NPI number?

The NPI number for Phillip Bly is 1083715353. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Phillip Bly located?

Phillip Bly practices at 7126 N Shadeland Ave Suite B, Indianapolis, IN 46250. The listed phone number is (317) 842-6402.

What is Phillip Bly's specialty?

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

Is Phillip Bly enrolled in Medicare?

No. Phillip Bly has opted out of Medicare through January 1, 2028. 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 Phillip Bly accept?

Health plans from TRUASSURE INSURANCE COMPANY list Phillip Bly 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 Phillip Bly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.