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DR. BRIAN OVERMYER DDS
NPI 1174961841
Dentist in Crystal Lake, IL

Active since June 04, 2013Opted out of Medicare · through May 11, 2027
284 MEMORIAL CT, SUITE A, CRYSTAL LAKE, IL 60014(815) 477-3700 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian Overmyer Dds NPPES

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

DR. BRIAN OVERMYER DDS (NPI 1174961841) is an individual dentist in Crystal Lake, Illinois, licensed in Illinois (019022498) and active in the NPI registry since June 2013. He has opted out of Medicare through May 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174961841
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRIAN OVERMYERCredential: DDS
Location Address284 MEMORIAL CT, SUITE ACrystal Lake, IL 60014-6231
Mailing Address284 Memorial Ct, Suite ACrystal Lake, IL 60014-6231 · (815) 477-3700
Phone(815) 477-3700
Sole ProprietorYes
Enumeration DateJune 4, 2013
✔ NPI 1174961841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019022498
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.
284 MEMORIAL CT, Crystal Lake, IL 60014
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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. Brian Overmyer 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 May 11, 2015 through May 11, 2027.

Opt-Out Effective DateMay 11, 2015
Opt-Out In Effect ThroughMay 11, 2027Opt-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 60014 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 Brian Overmyer's NPI number?

The NPI number for Brian Overmyer is 1174961841. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Brian Overmyer located?

Brian Overmyer practices at 284 Memorial Ct Suite A, Crystal Lake, IL 60014. The listed phone number is (815) 477-3700.

What is Brian Overmyer's specialty?

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

Is Brian Overmyer enrolled in Medicare?

No. Brian Overmyer has opted out of Medicare through May 11, 2027. 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 Brian Overmyer was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.