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ROSS HARRISON FAHEY D.D.S.
NPI 1104238641
Dentist - Oral and Maxillofacial Surgery in Boston, MA

Active since June 02, 2014Opted out of Medicare · through Oct 28, 2026
1 KNEELAND STREET, TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE - OMS DEPT., BOSTON, MA 02111(617) 636-6516 Get Directions Write a Review

NPPES record last updated: August 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ross Harrison Fahey D.d.s. NPPES

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

ROSS HARRISON FAHEY D.D.S. (NPI 1104238641) is an individual oral and maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (DN1856540) and active in the NPI registry since June 2014. He has opted out of Medicare through October 28, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104238641
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameROSS HARRISON FAHEYCredential: D.D.S.
Location Address1 KNEELAND STREET, TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE - OMS DEPT.Boston, MA 02111
Mailing Address1 Kneeland Street, Tufts University School Of Dental Medicine - Oms Dept.Boston, MA 02111 · (617) 636-6516
Phone(617) 636-6516
Sole ProprietorNo
Enumeration DateJune 2, 2014
Last NPPES UpdateAugust 3, 2014
✔ NPI 1104238641 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 MA · DN1856540
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.

1 KNEELAND STREET, Boston, MA 02111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana 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

Ross Harrison Fahey 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 October 28, 2020 through October 28, 2026.

Opt-Out Effective DateOctober 28, 2020
Opt-Out In Effect ThroughOctober 28, 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 02111 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

DR. FATEMA N ALRAYES
Dentist (Periodontics)
1 KNEELAND STREET, TUFTS UNIVERSITY - SCHOOL OF DENTAL MEDICINE
BOSTON, MA 02111
Suffolk County (617) 636-6531
TRUSTEES OF TUFTS UNIVERSITY
Clinic/Center (Dental)
1 KNEELAND STREET, 3RD FLOOR
BOSTON, MA 02111
Suffolk County (617) 636-6669
DR. STEFANIA GROUS DMD
Dentist
1 KNEELAND STREET, 12TH FLOOR CLINIC
BOSTON, MA 02111
Suffolk County (857) 272-3777
MRS. ALAA WALEED ALQUTUB BDS
Student in an Organized Health Care Education/Training Program
1 KNEELAND STREET
BOSTON, MA 02111
Suffolk County (617) 636-0888
DR. FARYN BERGER D.D.S.
Student in an Organized Health Care Education/Training Program
1 KNEELAND STREET, TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
BOSTON, MA 02111
Suffolk County (617) 636-2163
MR. BAHAA M M A A M A ALSHAWAF DDS
Student in an Organized Health Care Education/Training Program
1 KNEELAND STREET, TUFTS UNIVERSITY-SCHOOL OF DENTAL MEDICINE
BOSTON, MA 02111
Suffolk County (617) 636-6641
FERNANDO HARP RUIZ
Student in an Organized Health Care Education/Training Program
1 KNEELAND STREET
BOSTON, MA 02111
Suffolk County (617) 636-6591
LAYALI MOHAMEDALI ALAKKAD
Student in an Organized Health Care Education/Training Program
1 KNEELAND STREET, 12TH FLOOR
BOSTON, MA 02111
Suffolk County (202) 417-4609

Frequently Asked Questions

What is Ross Fahey's NPI number?

The NPI number assigned to this healthcare provider is 1104238641, enumerated as an "individual" on June 02, 2014.

Where is the provider located?

The provider is located at 1 KNEELAND STREET TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE - OMS DEPT. BOSTON, MA 02111 and the phone number is (617) 636-6516.

What is the provider's specialty?

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

What insurance does Ross Fahey accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to verify.