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MR. JAMES JOSEPH MACOVIAK DDS
NPI 1225047384
Dentist in Drums, PA

Active since August 07, 2006PECOS Enrolled
ROUTE 309, RITTENHOUSE PLACE B2, DRUMS, PA 18222(570) 788-7010(570) 788-5188 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. James Joseph Macoviak Dds NPPES

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

MR. JAMES JOSEPH MACOVIAK DDS (NPI 1225047384) is an individual dentist in Drums, Pennsylvania, licensed in Pennsylvania (DS023630L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225047384
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. JAMES JOSEPH MACOVIAKCredential: DDS
Location AddressROUTE 309, RITTENHOUSE PLACE B2Drums, PA 18222-0456
Mailing AddressPo Box 456, Rittenhouse PlaceDrums, PA 18222-0456 · (570) 788-7010 · Fax (570) 788-5188
Phone(570) 788-7010
Fax(570) 788-5188
Sole ProprietorNo
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225047384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS023630L
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.
ROUTE 309, Drums, PA 18222
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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, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James Joseph Macoviak Dds 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 18222 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 James Macoviak's NPI number?

The NPI number for James Macoviak is 1225047384. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is James Macoviak located?

James Macoviak practices at Route 309 Rittenhouse Place B2, Drums, PA 18222. The listed phone number is (570) 788-7010.

What is James Macoviak's specialty?

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

Is James Macoviak enrolled in Medicare?

Yes. James Macoviak is registered in the Medicare PECOS enrollment system.

What insurance does James Macoviak accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list James Macoviak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Macoviak was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.