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DR. WILLIAM R. ALLEN JR. DMD
NPI 1093945560
Dentist - Oral and Maxillofacial Surgery in Louisville, KY

Active since July 19, 2009Opted out of Medicare · through Nov 3, 2027
2120 HIGH WICKHAM PL STE 103, LOUISVILLE, KY 40245(502) 512-0143(502) 512-0129 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. William R. Allen Jr. Dmd NPPES

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

DR. WILLIAM R. ALLEN JR. DMD (NPI 1093945560) is an individual oral and maxillofacial surgery provider in Louisville, Kentucky, licensed in Kentucky (8471) and active in the NPI registry since July 2009. He has opted out of Medicare through November 3, 2027 and remains eligible to order and refer and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1093945560
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. WILLIAM R. ALLEN JR.Credential: DMD
Location Address2120 HIGH WICKHAM PL STE 103Louisville, KY 40245-5903
Mailing Address2800 Cannons Ln, Ste 100Louisville, KY 40205 · (502) 454-4885 · Fax (502) 452-1926
Phone(502) 512-0143
Fax(502) 512-0129
Sole ProprietorYes
Enumeration DateJuly 19, 2009
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1093945560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in KY · 8471
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 8471 (KY)
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 8471 (KY)
2120 HIGH WICKHAM PL STE 103, Louisville, KY 40245
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Secondary Practice Location 1

Location 1225 Abraham Flexner Way Ste 302Louisville, KY 40202-1882 · Phone (502) 587-7874 · Fax (502) 587-0758

Other Identifiers 5

Other000000770334KY · Anthem
Medicaid7100210290KY
Medicaid201098860IN
OtherP01500682KY · Railroad Medicare
Medicaid7100210090KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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. William R. Allen Jr. Dmd 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 November 3, 2025 through November 3, 2027.

Opt-Out Effective DateNovember 3, 2025
Opt-Out In Effect ThroughNovember 3, 2027Opt-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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40245 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

DERBY CITY PEDIATRIC DENTISTRY, PLLC
Dentist (Pediatric Dentistry)
2120 HIGH WICKHAM PL STE 103
LOUISVILLE, KY 40245
Jefferson County (502) 254-6097

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 William Allen's NPI number?

The NPI number for William Allen is 1093945560. It was assigned to this individual provider in the NPPES registry on July 19, 2009.

Where is William Allen located?

William Allen practices at 2120 High Wickham Pl Ste 103, Louisville, KY 40245. The listed phone number is (502) 512-0143.

What is William Allen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is William Allen enrolled in Medicare?

No. William Allen has opted out of Medicare through November 3, 2027. 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 William Allen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 13 other insurers list William Allen 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 William Allen was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.