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SEBASTIAN GRACA DMD
NPI 1104445808
Dentist - Oral and Maxillofacial Surgery in Arlington Heights, IL

Active since April 13, 2020Opted out of Medicare · through Jul 17, 2027
1600 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005(847) 345-7361 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, Jul 14, 2020, Apr 13, 2020 (3 updates tracked since 2020).

About Sebastian Graca Dmd NPPES

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

SEBASTIAN GRACA DMD (NPI 1104445808) is an individual oral and maxillofacial surgery provider in Arlington Heights, Illinois, licensed in Illinois (021.003333) and active in the NPI registry since April 2020. He has opted out of Medicare through July 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104445808
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameSEBASTIAN GRACACredential: DMD
Location Address1600 W CENTRAL RDArlington Heights, IL 60005-2407
Mailing Address804 Sylviawood AvePark Ridge, IL 60068-2250
Phone(847) 345-7361
Sole ProprietorNo
Enumeration DateApril 13, 2020
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1104445808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 021.003333
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 019.032604 (IL)
1600 W CENTRAL RD, Arlington Heights, IL 60005
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sebastian Graca 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 July 17, 2025 through July 17, 2027.

Opt-Out Effective DateJuly 17, 2025
Opt-Out In Effect ThroughJuly 17, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 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 3

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

DR. PETER DOMINIC CHEMELLO DDS
Dentist
1600 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 392-6220
DR. STEVEN TODD JENSEN
Dentist (Oral and Maxillofacial Surgery)
1600 W CENTRAL RD
ARLINGTON HTS, IL 60005
Cook County (847) 392-6220
NORTHWEST ORAL & MAXILLOFACIAL SURGERY INC
Dentist
1600 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 392-6220

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 Sebastian Graca's NPI number?

The NPI number for Sebastian Graca is 1104445808. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Sebastian Graca located?

Sebastian Graca practices at 1600 W Central Rd, Arlington Heights, IL 60005. The listed phone number is (847) 345-7361.

What is Sebastian Graca's specialty?

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

Is Sebastian Graca enrolled in Medicare?

No. Sebastian Graca has opted out of Medicare through July 17, 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.

When was this NPI record last updated?

The NPPES record for Sebastian Graca was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.