ALEXANDRA MICHELLE PETRASZKO D.D.S.
NPI 1174941397
Dentist - Oral and Maxillofacial Pathology in Raleigh, NC

Q: What is Alexandra Petraszko's NPI number?

The NPI number for Alexandra Petraszko is 1174941397. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Q: What is Alexandra Petraszko's specialty?

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

Q: Is Alexandra Petraszko enrolled in Medicare?

No. Alexandra Petraszko has opted out of Medicare through May 25, 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.

Active since April 03, 2014Opted out of Medicare · through May 25, 2028

8305 FALLS OF NEUSE RD STE 105, RALEIGH, NC 27615(919) 841-1720(919) 841-1725 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2021, Jun 26, 2020 (2 updates tracked since 2020).

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About Alexandra Michelle Petraszko D.d.s. NPPES

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

ALEXANDRA MICHELLE PETRASZKO D.D.S. (NPI 1174941397) is an individual oral and maxillofacial pathology provider in Raleigh, North Carolina, licensed in North Carolina (00353) and active in the NPI registry since April 2014. She has opted out of Medicare through May 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174941397

Entity TypeIndividualFemale

Primary Taxonomy1223P0106X

Provider Legal NameALEXANDRA MICHELLE PETRASZKOCredential: D.D.S.

Location Address8305 FALLS OF NEUSE RD STE 105Raleigh, NC 27615-3546

Mailing Address8305 Falls Of Neuse Rd Ste 105Raleigh, NC 27615-3546 · (919) 841-1720

Phone(919) 841-1720

Fax(919) 841-1725

Sole ProprietorNo

Enumeration DateApril 3, 2014

Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2021

✔ NPI 1174941397 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 NC · 00353

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.

8305 FALLS OF NEUSE RD STE 105, Raleigh, NC 27615

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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Alexandra Michelle Petraszko 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 25, 2020 through May 25, 2028.

Opt-Out Effective DateMay 25, 2020

Opt-Out In Effect ThroughMay 25, 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 27615 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 5

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

JORGE E PEREZ SANTOS D.M.D.

Dentist (Oral and Maxillofacial Surgery)