DR. ROBERT CARL WUNDERLE D.D.S.
NPI 1093718645
Dentist - Oral and Maxillofacial Surgery in Marietta, GA

NPI Status: Active since May 27, 2005

Contact Information

1000 JOHNSON FERRY RD
BLDG H
MARIETTA, GA
ZIP 30068
Phone: (770) 977-0364
Fax: (678) 819-6531

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Dentist
Oral and Maxillofacial Surgery
Accepts Insurance
PECOS Enrolled

About ROBERT WUNDERLE

This page provides the complete NPI Profile along with additional information for Robert Wunderle, a provider established in Marietta, Georgia with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1093718645 assigned on May 2005. The practitioner's primary taxonomy code is 1223S0112X with license number DN008930 (GA). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI: 1093718645
Provider Name: DR. ROBERT CARL WUNDERLE D.D.S.
Gender: Male
Entity Type: Individual
Location Address: 1000 JOHNSON FERRY RD BLDG H MARIETTA, GA 30068
Location Phone: (770) 977-0364
Location Fax: (678) 819-6531
Mailing Address: 1000 JOHNSON FERRY RD BLDG H MARIETTA, GA 30068
Mailing Phone: (770) 977-0364
Mailing Fax: (678) 819-6531
Is Sole Proprietor?: No
Enumeration Date: 05-27-2005
Last Update Date: 08-10-2010
Code Navigator

A dentist like Robert Wunderle is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist Oral and Maxillofacial Surgery
Taxonomy Code: 1223S0112X
Type: Dental Providers
License No.: DN008930
License State: GA
Taxonomy Description: An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross and Blue Shield of Montana

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Oklahoma

BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO
BlueCare Dental? 1D - PPO

Blue Cross and Blue Shield of Texas

BlueCare Dental 1D - PPO
BlueCare Dental 4 Kids? 1A - PPO
BlueCare Dental 4 Kids? 1B - PPO
BlueCare Dental? 1A - PPO
BlueCare Dental? 1B - PPO
BlueCare Dental? 1C - PPO

HRI Dental & Vision

HRI Essential Plus Plan - HMO
HRI Essential Plus Plan - PPO
HRI Preventive Family Plan - HMO
HRI Preventive Family Plan - PPO
HRI Total Care Plan - HMO
HRI Total Care Plan - PPO

Humana

Humana Dental Smart Choice - PPO
Humana Dental Smart Choice - Basic - PPO
Humana Dental Smart Choice - High - PPO
Humana Dental Smart Choice - Lite - PPO
Humana Dental Smart Choice - Low - PPO

Paramount

Paramount Dental Essential Plus Plan - EPO
Paramount Dental Preventive Family Plan - EPO
Paramount Dental Total Care Plan - EPO

Renaissance Dental

Alabama Preferred Plan - PPO
Alabama Preferred Plan (Pediatric Only) - PPO
Alabama Preferred Plus Plan - PPO
Alabama Preferred Plus Plan (Pediatric Only) - PPO
Alabama Wellness Essentials Plan - PPO
Florida Preferred Plan - PPO
Florida Preferred Plan (Pediatric Only) - PPO
Florida Preferred Plus Plan - PPO
Florida Preferred Plus Plan (Pediatric Only) - PPO
Florida Wellness Essentials Plan - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
U22592	MEDICARE UPIN (02)	GA

Medicare Participation & PECOS Enrollment Status

Robert Wunderle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30068 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $88.06
Minimum New Patient Price $56.84
Maximum New Patient Price $172.43

Average New Patient Copayment $22.01
Minimum New Patient Copayment $14.21
Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $70.85
Minimum Established Patient Price $18.22
Maximum Established Patient Price $140.4

Average Established Patient Copayment $17.71
Minimum Established Patient Copayment $4.55
Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093718645, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 16 → 1 + 6

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 4 + 1 + 1 + 6 + 6 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1093718645.