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CARLOS R IBANEZ DDS
NPI 1154327005
Dentist - Oral and Maxillofacial Surgery in Charlottesville, VA

Active since June 24, 2005PECOS Enrolled
1415 ROLKIN COURT, SUITE 101, CHARLOTTESVILLE, VA 22911(434) 295-0911(434) 295-4139 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carlos R Ibanez Dds NPPES

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

CARLOS R IBANEZ DDS (NPI 1154327005) is an individual oral and maxillofacial surgery provider in Charlottesville, Virginia, licensed in Virginia (0401412224) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154327005
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameCARLOS R IBANEZCredential: DDS
Location Address1415 ROLKIN COURT, SUITE 101Charlottesville, VA 22911
Mailing Address1415 Rolkin Court, Suite 101Charlottesville, VA 22911 · (434) 295-0911 · Fax (434) 295-4139
Phone(434) 295-0911
Fax(434) 295-4139
Sole ProprietorYes
Enumeration DateJune 24, 2005
Last NPPES UpdateOctober 17, 2018
✔ NPI 1154327005 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 VA · 0401412224
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.
1415 ROLKIN COURT, Charlottesville, VA 22911
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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, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos R Ibanez Dds 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.

Medicare Billing Reassignment

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

University Of Virginia Physicians Group
4.1 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 Carlos Ibanez's NPI number?

The NPI number for Carlos Ibanez is 1154327005. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Carlos Ibanez located?

Carlos Ibanez practices at 1415 Rolkin Court Suite 101, Charlottesville, VA 22911. The listed phone number is (434) 295-0911.

What is Carlos Ibanez's specialty?

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

Is Carlos Ibanez enrolled in Medicare?

Yes. Carlos Ibanez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Ibanez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Ibanez reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). 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 Carlos Ibanez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Ibanez accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Carlos Ibanez 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 Carlos Ibanez was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.