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DR. VICTOR PAUL LEBEDOVYCH DDS
NPI 1104849314
Dentist - Oral and Maxillofacial Surgery in Simspnville, SC

Active since July 26, 2006Opted out of Medicare · through Feb 27, 2028
634 FAIRVIEW RD, BUILDING C, SIMSPNVILLE, SC 29680(864) 967-4000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Victor Paul Lebedovych Dds NPPES

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

DR. VICTOR PAUL LEBEDOVYCH DDS (NPI 1104849314) is an individual oral and maxillofacial surgery provider in Simspnville, South Carolina, licensed in South Carolina (617) and active in the NPI registry since July 2006. He has opted out of Medicare through February 27, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104849314
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. VICTOR PAUL LEBEDOVYCHCredential: DDS
Location Address634 FAIRVIEW RD, BUILDING CSimspnville, SC 29680
Mailing Address634 Fairview Rd, Building CSimspnville, SC 29680 · (864) 967-4000
Phone(864) 967-4000
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104849314 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 SC · 617
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.
634 FAIRVIEW RD, Simspnville, SC 29680
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Victor Paul Lebedovych Dds 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 February 27, 2018 through February 27, 2028.

Opt-Out Effective DateFebruary 27, 2018
Opt-Out In Effect ThroughFebruary 27, 2028Opt-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 29680 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

ADJUST TO LIFE CHIROPRACTIC LLC
Chiropractor
634 FAIRVIEW RD, SUITE 2
SIMPSONVILLE, SC 29680
Greenville County (864) 305-1009
FOOTHILLS ORAL & FACIAL SURGERY, PA
Dentist (Oral and Maxillofacial Surgery)
634 FAIRVIEW RD, BUILDING C
SIMPSONVILLE, SC 29680
Greenville County (864) 967-4000
JULIE ANN GRIFFIN FNP-C
Nurse Practitioner (Family)
634 FAIRVIEW RD
SIMPSONVILLE, SC 29680
Greenville County (864) 757-9720

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 Victor Lebedovych's NPI number?

The NPI number for Victor Lebedovych is 1104849314. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Victor Lebedovych located?

Victor Lebedovych practices at 634 Fairview Rd Building C, Simspnville, SC 29680. The listed phone number is (864) 967-4000.

What is Victor Lebedovych's specialty?

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

Is Victor Lebedovych enrolled in Medicare?

No. Victor Lebedovych has opted out of Medicare through February 27, 2028. 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 Victor Lebedovych accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina and 5 other insurers list Victor Lebedovych 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 Victor Lebedovych was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.