DR. ALEXANDER GRABAVOY DDS
NPI 1124246756
Dentist in Shorewood, IL

Active since April 20, 2007Opted out of Medicare · through Sep 29, 2026
1007 W. JEFFERSON STREET, SHOREWOOD, IL 60404(815) 730-0900(815) 730-0955 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alexander Grabavoy Dds NPPES

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

DR. ALEXANDER GRABAVOY DDS (NPI 1124246756) is an individual dentist in Shorewood, Illinois and active in the NPI registry since April 2007. He has opted out of Medicare through September 29, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124246756
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ALEXANDER GRABAVOYCredential: DDS
Location Address1007 W. JEFFERSON STREETShorewood, IL 60404
Mailing Address1007 W. Jefferson StreetShorewood, IL 60404 · (815) 730-0900 · Fax (815) 730-0955
Fax(815) 730-0955
Sole ProprietorYes
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1124246756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
1007 W. JEFFERSON STREET, Shorewood, IL 60404

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Alexander Grabavoy 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 September 29, 2010 through September 29, 2026.

Opt-Out Effective DateSeptember 29, 2010
Opt-Out In Effect ThroughSeptember 29, 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 60404 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 Alexander Grabavoy's NPI number?

The NPI number for Alexander Grabavoy is 1124246756. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Alexander Grabavoy located?

Alexander Grabavoy practices at 1007 W. Jefferson Street, Shorewood, IL 60404. The listed phone number is (815) 730-0900.

What is Alexander Grabavoy's specialty?

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

Is Alexander Grabavoy enrolled in Medicare?

No. Alexander Grabavoy has opted out of Medicare through September 29, 2026. 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 Alexander Grabavoy 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.