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DR. CAROLINE HELENE SHIBOSKI DDS PHD
NPI 1104910827
Dentist in San Francisco, CA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
521 PARNASSUS AVE # C-646, SAN FRANCISCO, CA 94143(415) 476-2045(415) 514-2862 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Caroline Helene Shiboski Dds Phd NPPES

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

DR. CAROLINE HELENE SHIBOSKI DDS PHD (NPI 1104910827) is an individual dentist in San Francisco, California, licensed in California (37161) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1104910827
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. CAROLINE HELENE SHIBOSKICredential: DDS PHD
Location Address521 PARNASSUS AVE # C-646San Francisco, CA 94143-2205
Mailing Address513 Parnassus Ave, Suite S612, Box 0422San Francisco, CA 94143-2205 · (415) 476-5976 · Fax (415) 476-4204
Phone(415) 476-2045
Fax(415) 514-2862
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 26, 2007
✔ NPI 1104910827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 37161
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedSpecialistTaxonomy 174400000X
521 PARNASSUS AVE # C-646, San Francisco, CA 94143
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Other Identifiers 3

Medicaid00371610CA
Medicare PIN00371610CA
Medicare UPINU75002CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Caroline Helene Shiboski Dds Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709971799
PECOS Enrollment IDI20071005000409
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 Reassignment

Medicare enrollment records show Caroline Shiboski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ucsf Oral Medicine Clinic
0.1 mi
General Practice
513 PARNASSUS AVE, SUITE S-722
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 29 clinicians in this Medicare group
NPI 1376612960 (415) 476-2045

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services48 patients
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.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 Caroline Shiboski's NPI number?

The NPI number for Caroline Shiboski is 1104910827. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Caroline Shiboski located?

Caroline Shiboski practices at 521 Parnassus Ave # C-646, San Francisco, CA 94143. The listed phone number is (415) 476-2045.

What is Caroline Shiboski's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Caroline Shiboski enrolled in Medicare?

Yes. Caroline Shiboski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Caroline Shiboski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Shiboski reassigns Medicare benefits to Ucsf Oral Medicine Clinic (San Francisco, CA). The 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 Caroline Shiboski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Caroline Shiboski was last updated on September 26, 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.