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DR. PETER L PASSERO DDS
NPI 1194169565
Dentist - Periodontics in Mc Lean, VA

Active since April 29, 2013Opted out of Medicare · through Jun 6, 2027
1430 SPRING HILL RD, MC LEAN, VA 22102(703) 821-4040(703) 821-4041 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter L Passero Dds NPPES

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

DR. PETER L PASSERO DDS (NPI 1194169565) is an individual periodontics provider in Mc Lean, Virginia, licensed in Virginia (0401005265) and active in the NPI registry since April 2013. He has opted out of Medicare through June 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194169565
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. PETER L PASSEROCredential: DDS
Location Address1430 SPRING HILL RDMc Lean, VA 22102-3000
Mailing Address1430 Spring Hill RdMc Lean, VA 22102-3000 · (703) 821-4040 · Fax (703) 821-4041
Phone(703) 821-4040
Fax(703) 821-4041
Sole ProprietorNo
Enumeration DateApril 29, 2013
✔ NPI 1194169565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in VA · 0401005265
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1430 SPRING HILL RD, Mc Lean, VA 22102
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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. Peter L Passero 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 June 6, 2013 through June 6, 2027.

Opt-Out Effective DateJune 6, 2013
Opt-Out In Effect ThroughJune 6, 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 22102 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 3

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

KARLA ADDESS RDHMS
Dental Hygienist
1430 SPRING HILL RD
MC LEAN, VA 22102
Fairfax County (703) 821-4040
MED TEL INTERNATIONAL CORPORATION
Clinic/Center (Radiology)
1430 SPRING HILL RD, SUITE 500
MCLEAN, VA 22102
Fairfax County (703) 448-8800
DR. BRIAN ANDREW FEENEY D.M.D.
Dentist (Periodontics)
1430 SPRING HILL RD, SUITE 101
MC LEAN, VA 22102
Fairfax County (703) 821-4040

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 Peter Passero's NPI number?

The NPI number for Peter Passero is 1194169565. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Where is Peter Passero located?

Peter Passero practices at 1430 Spring Hill Rd, Mc Lean, VA 22102. The listed phone number is (703) 821-4040.

What is Peter Passero's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Peter Passero enrolled in Medicare?

No. Peter Passero has opted out of Medicare through June 6, 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 Peter Passero was last updated on April 29, 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.