DR. GREGORY CHARLES TELLATIN D.D.S.
NPI 1124114103
Dentist - General Practice in Springfield, MO

Active since October 05, 2006PECOS Enrolled
1628 S. CAMPBELL, SPRINGFIELD, MO 65807(417) 862-0782(417) 862-3866 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gregory Charles Tellatin D.d.s. NPPES

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

DR. GREGORY CHARLES TELLATIN D.D.S. (NPI 1124114103) is an individual general practice provider in Springfield, Missouri, licensed in Missouri (14175) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124114103
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GREGORY CHARLES TELLATINCredential: D.D.S.
Location Address1628 S. CAMPBELLSpringfield, MO 65807-2002
Mailing Address1628 S. CampbellSpringfield, MO 65807 · (417) 862-0782 · Fax (417) 862-3866
Fax(417) 862-3866
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateFebruary 23, 2015
NPI 1124114103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 14175
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1628 S. CAMPBELL, Springfield, MO 65807

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gregory Charles Tellatin D.d.s. 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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 65807 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.64
  • Minimum New Patient Price $52.28
  • Maximum New Patient Price $161.24
  • Average New Patient Copayment $20.41
  • Minimum New Patient Copayment $13.07
  • Maximum New Patient Copayment $40.31

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $65.71
  • Minimum Established Patient Price $16.3
  • Maximum Established Patient Price $131.05
  • Average Established Patient Copayment $16.42
  • Minimum Established Patient Copayment $4.07
  • Maximum Established Patient Copayment $32.76

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124114103, enumerated as an "individual" on October 05, 2006.

The provider is located at 1628 S. CAMPBELL SPRINGFIELD, MO 65807 and the phone number is (417) 862-0782.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Guardian. Please consult your insurance carrier or call the provider to verify.