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ROBERT PELLECCHIA DDS
NPI 1104035211
Dentist - Oral and Maxillofacial Surgery in Pelham, NY

Active since May 22, 2007PECOS Enrolled
139 COUNTRY CLUB LN, PELHAM, NY 10803(914) 426-2882 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert Pellecchia Dds NPPES

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

ROBERT PELLECCHIA DDS (NPI 1104035211) is an individual oral and maxillofacial surgery provider in Pelham, New York, licensed in New York (034444) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104035211
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameROBERT PELLECCHIACredential: DDS
Location Address139 COUNTRY CLUB LNPelham, NY 10803-2912
Mailing Address139 Country Club LnPelham, NY 10803-2912 · (914) 426-2882
Phone(914) 426-2882
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateJanuary 11, 2008
✔ NPI 1104035211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 034444
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.
139 COUNTRY CLUB LN, Pelham, NY 10803
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Pellecchia Dds 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 Reassignments

2

Medicare enrollment records show Robert Pellecchia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Affiliate Group Of New York PC
9.1 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
Geisinger Clinic
88 mi
Family Medicine
3306 LAKE ARIEL HWY
Honesdale, PA 18431
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1720495393 (570) 253-0148

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 10803 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 Robert Pellecchia's NPI number?

The NPI number for Robert Pellecchia is 1104035211. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Robert Pellecchia located?

Robert Pellecchia practices at 139 Country Club Ln, Pelham, NY 10803. The listed phone number is (914) 426-2882.

What is Robert Pellecchia's specialty?

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

Is Robert Pellecchia enrolled in Medicare?

Yes. Robert Pellecchia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Pellecchia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Pellecchia reassigns Medicare benefits to 2 organizations: Physician Affiliate Group Of New York PC (New York, NY) and Geisinger Clinic (Honesdale, PA). Each 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 Robert Pellecchia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Pellecchia accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and UnitedHealthcare list Robert Pellecchia 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 Robert Pellecchia was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.