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DR. MARTIN J ZIDRON D.D.S.
NPI 1164462362
Dentist - Oral and Maxillofacial Pathology in Deer Park, IL

Active since June 07, 2006Opted out of Medicare · through May 9, 2028
21660 W FIELD PKWY, SUITE 220, DEER PARK, IL 60010(847) 381-0106(847) 381-0265 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Martin J Zidron D.d.s. NPPES

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

DR. MARTIN J ZIDRON D.D.S. (NPI 1164462362) is an individual oral and maxillofacial pathology provider in Deer Park, Illinois, licensed in Illinois (019-017572) and active in the NPI registry since June 2006. He has opted out of Medicare through May 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164462362
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. MARTIN J ZIDRONCredential: D.D.S.
Location Address21660 W FIELD PKWY, SUITE 220Deer Park, IL 60010-7265
Mailing Address21660 W Field Pkwy, Suite 220Deer Park, IL 60010-7265 · (847) 381-0106 · Fax (847) 381-0265
Phone(847) 381-0106
Fax(847) 381-0265
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 24, 2012
✔ NPI 1164462362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in IL · 019-017572
Definition
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.
21660 W FIELD PKWY, Deer Park, IL 60010
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Other Identifiers 4

Other80022564IL · Bcbs Provider Number
Other80002564IL · Bcbs Provider Number
Medicare ID-Type Unspecified910210IL · Medicare Number
Medicare UPINT87155IL

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. Martin J Zidron D.d.s. 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 May 9, 2020 through May 9, 2028.

Opt-Out Effective DateMay 9, 2020
Opt-Out In Effect ThroughMay 9, 2028Opt-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 60010 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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER HUANG
Student in an Organized Health Care Education/Training Program
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (847) 692-9234
IRINA FRENKEL MSN, FNP-BC
Nurse Practitioner (Family)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (847) 338-0339
MRS. DOMINNO CAROLINE FOGLE M.M.S., PA-C
Physician Assistant (Medical)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (888) 803-3370
DANESHA HOWARD FNP-BC
Nurse Practitioner (Family)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (630) 949-7369
SERAPHIC FAMILY CARE AND WELLNESS LLC
Clinic/Center (Primary Care)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (847) 900-8796
DR. JOHN TRAVIS THOMPSON D.D.S.
Dentist (Oral and Maxillofacial Surgery)
21660 W FIELD PKWY, SUITE 220
DEER PARK, IL 60010
Cook County (847) 381-0106
NIKKI BORAH TANG PA-C
Physician Assistant
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (888) 803-3370
FAHEEM UNISA SYED APNP
Nurse Practitioner (Family)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (415) 840-0560

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 Martin Zidron's NPI number?

The NPI number for Martin Zidron is 1164462362. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Martin Zidron located?

Martin Zidron practices at 21660 W Field Pkwy Suite 220, Deer Park, IL 60010. The listed phone number is (847) 381-0106.

What is Martin Zidron's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Martin Zidron enrolled in Medicare?

No. Martin Zidron has opted out of Medicare through May 9, 2028. 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 Martin Zidron was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.