DR. JOHN PANZICA D.D.S.
NPI 1093916231
Dentist - General Practice in Northbrook, IL

Active since May 29, 2007Opted out of Medicare · through Sep 27, 2026
1535 LAKE COOK RD STE 104, NORTHBROOK, IL 60062(847) 498-9767(847) 498-9045 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. John Panzica D.d.s. NPPES

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

DR. JOHN PANZICA D.D.S. (NPI 1093916231) is an individual general practice provider in Northbrook, Illinois, licensed in Illinois (019.017250) and active in the NPI registry since May 2007. He has opted out of Medicare through September 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093916231
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN PANZICACredential: D.D.S.
Location Address1535 LAKE COOK RD STE 104Northbrook, IL 60062-1450
Mailing Address55 E Washington St, Suite 2610Chicago, IL 60602-2103 · (312) 853-3431 · Fax (312) 853-3432
Fax(847) 498-9045
Sole ProprietorYes
Enumeration DateMay 29, 2007
Last NPPES UpdateApril 25, 2022
NPPES CertifiedApril 25, 2022
NPI 1093916231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019.017250
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 019.017250 (IL)
1535 LAKE COOK RD STE 104, Northbrook, IL 60062

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. John Panzica D.d.s. 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 September 27, 2016 through September 27, 2026.

Opt-Out Effective DateSeptember 27, 2016
Opt-Out In Effect ThroughSeptember 27, 2026Opt-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 60062 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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

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

Dentist
1535 LAKE COOK RD STE 104
NORTHBROOK, IL 60062

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 John Panzica's NPI number?

The NPI number for John Panzica is 1093916231. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is John Panzica located?

John Panzica practices at 1535 Lake Cook Rd Ste 104, Northbrook, IL 60062. The listed phone number is (847) 498-9767.

What is John Panzica's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Panzica enrolled in Medicare?

No. John Panzica has opted out of Medicare through September 27, 2026. 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.

When was this NPI record last updated?

The NPPES record for John Panzica was last updated on April 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.