DR. SUSAN PANCOAST EDDLEMAN D.D.S.
NPI 1184610909
Dentist - General Practice in Rock Port, MO

Q: What is Susan Eddleman's NPI number?

The NPI number for Susan Eddleman is 1184610909. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Q: What is Susan Eddleman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Susan Eddleman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 27, 2005PECOS Enrolled

204 S MAIN ST, ROCK PORT, MO 64482(660) 744-5391 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Susan Pancoast Eddleman D.d.s. NPPES

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

DR. SUSAN PANCOAST EDDLEMAN D.D.S. (NPI 1184610909) is an individual general practice provider in Rock Port, Missouri, licensed in Missouri (14169) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184610909

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SUSAN PANCOAST EDDLEMANCredential: D.D.S.

Location Address204 S MAIN STRock Port, MO 64482-1532

Mailing Address204 S Main St, P. O. Box 282Rock Port, MO 64482-1532 · (660) 744-5391

Phone(660) 744-5391

Sole ProprietorYes

Enumeration DateSeptember 27, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1184610909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 14169

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

204 S MAIN ST, Rock Port, MO 64482

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Other Identifiers 1

Other13627011MO · Bcbs Of Kansas City

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Pancoast Eddleman D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64482 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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

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

DR. SUSAN P EDDLEMAN

Clinic/Center (Dental)

204 S MAIN ST
ROCK PORT, MO 64482

Atchison County (660) 744-5391

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 Susan Eddleman's NPI number?

The NPI number for Susan Eddleman is 1184610909. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Susan Eddleman located?

Susan Eddleman practices at 204 S Main St, Rock Port, MO 64482. The listed phone number is (660) 744-5391.

What is Susan Eddleman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Susan Eddleman enrolled in Medicare?

Yes. Susan Eddleman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Eddleman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.