DR. MARTIN J ZIDRON D.D.S.
NPI 1164462362
Dentist - Oral and Maxillofacial Pathology in Deer Park, IL
NPI Status: Active since June 07, 2006
Contact Information
21660 W FIELD PKWY
SUITE 220
DEER PARK, IL
ZIP 60010
Phone: (847) 381-0106
Fax: (847) 381-0265
- Individual
- Male
- Dentist
- Oral and Maxillofacial Pathology
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About MARTIN ZIDRON
This page provides the complete NPI Profile along with additional information for Martin Zidron, a provider established in Deer Park, Illinois with a medical specialization in Dentist, focusing in oral and maxillofacial pathology . The healthcare provider is registered in the NPI registry with number 1164462362 assigned on June 2006. The practitioner's primary taxonomy code is 1223P0106X with license number 019-017572 (IL). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1164462362
- Provider Name
- DR. MARTIN J ZIDRON D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 21660 W FIELD PKWY SUITE 220 DEER PARK, IL 60010
- Location Phone
- (847) 381-0106
- Location Fax
- (847) 381-0265
- Mailing Address
- 21660 W FIELD PKWY SUITE 220 DEER PARK, IL 60010
- Mailing Phone
- (847) 381-0106
- Mailing Fax
- (847) 381-0265
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-07-2006
- Last Update Date
- 07-24-2012
- Code Navigator
A dentist like Martin Zidron is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Martin Zidron opted out of Medicare effective on 05-09-2020 until 05-09-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Pathology
- Taxonomy Code
- 1223P0106X
- Type
- Dental Providers
- License No.
- 019-017572
- License State
- IL
- Taxonomy Description
- The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80022564 | OTHER (01) | IL | BCBS PROVIDER NUMBER |
| 80002564 | OTHER (01) | IL | BCBS PROVIDER NUMBER |
| 910210 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | MEDICARE NUMBER |
| T87155 | MEDICARE UPIN (02) | IL |
Medicare Participation & PECOS Enrollment Status
Martin Zidron is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-09-2020
Opt-Out End Date: 05-09-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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 60010 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $93.02
- Minimum New Patient Price $59.81
- Maximum New Patient Price $181.38
- Average New Patient Copayment $23.25
- Minimum New Patient Copayment $14.95
- Maximum New Patient Copayment $45.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.38
- Minimum Established Patient Price $19.15
- Maximum Established Patient Price $147.12
- Average Established Patient Copayment $18.59
- Minimum Established Patient Copayment $4.78
- Maximum Established Patient Copayment $36.78
* 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 4 | 6 | 2 | 3 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 8 | 6 | 4 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 8 + 6 + 4 + 3 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1164462362 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
DR. JOHN TRAVIS THOMPSON D.D.S.
Dentist
(Oral and Maxillofacial Surgery)
21660 W FIELD PKWY
SUITE 220
DEER PARK, IL
ZIP 60010
ORAL FACIAL & IMPLANT SPECIALISTS, P.C.
Dentist
(Oral and Maxillofacial Surgery)
21660 W FIELD PKWY
SUITE 220
DEER PARK, IL
ZIP 60010
IRINA FRENKEL MSN, FNP-BC
Nurse Practitioner
(Family)
21660 W FIELD PKWY
DEER PARK, IL
ZIP 60010
MEDICAID SUPPORT, LLC
Case Management
21660 W FIELD PKWY
DEER PARK, IL
ZIP 60010
CIRCLE MEDICAL CARE GROUP PA
Family Medicine
21660 W FIELD PKWY
DEER PARK, IL
ZIP 60010
MRS. DOMINNO CAROLINE FOGLE M.M.S., PA-C
Physician Assistant
(Medical)
21660 W FIELD PKWY
DEER PARK, IL
ZIP 60010
DANESHA HOWARD FNP-BC
Nurse Practitioner
(Family)
21660 W FIELD PKWY
DEER PARK, IL
ZIP 60010
KELSEY L PROEHL FNP-BC
Nurse Practitioner
(Family)
21660 W FIELD PKWY
DEER PARK, IL
ZIP 60010
FAHEEM UNISA SYED APNP
Nurse Practitioner
(Family)
21660 W FIELD PKWY
DEER PARK, IL
ZIP 60010
MS. BONNIE KAYE MITCHELL FNP-BC
Nurse Practitioner
21660 W FIELD PKWY
DEER PARK, IL
ZIP 60010
NIKKI BORAH TANG PA-C
Physician Assistant
21660 W FIELD PKWY
DEER PARK, IL
ZIP 60010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164462362, enumerated as an "individual" on June 07, 2006.
The provider is located at 21660 W FIELD PKWY SUITE 220 DEER PARK, IL 60010 and the phone number is (847) 381-0106.
Dentist with taxonomy code 1223P0106X and a focus in Oral and Maxillofacial Pathology.
The provider might be accepting Accepts: Humana, Blue Cross Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
