DR. PETER DOUGLAS INGOLDSBY DDS
NPI 1225377054
Dentist - Oral and Maxillofacial Surgery in Wright Patterson Afb, OH
About Dr. Peter Douglas Ingoldsby Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PETER DOUGLAS INGOLDSBY DDS (NPI 1225377054) is an individual oral and maxillofacial surgery provider in Wright Patterson Afb, Ohio, licensed in California (62870) and active in the NPI registry since February 2013. He has opted out of Medicare through June 28, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 3
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 Douglas Ingoldsby 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 28, 2024 through June 28, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
WRIGHT PATTERSON AFB, OH 45433
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 Ingoldsby's NPI number?
The NPI number for Peter Ingoldsby is 1225377054. It was assigned to this individual provider in the NPPES registry on February 14, 2013.
Where is Peter Ingoldsby located?
Peter Ingoldsby practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-9588.
What is Peter Ingoldsby's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Peter Ingoldsby enrolled in Medicare?
No. Peter Ingoldsby has opted out of Medicare through June 28, 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.
When was this NPI record last updated?
The NPPES record for Peter Ingoldsby was last updated on April 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Peter Douglas Ingoldsby, DDS · NPI 1225377054
Oral and Maxillofacial Surgery provider in Wright Patterson Afb, Ohio. Individual provider, active in the CMS NPPES registry since February 14, 2013.
## Identity
- **NPI:** 1225377054 (Entity type: Individual)
- **Enumerated:** February 14, 2013
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 62870 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433-5529
- **Phone:** (937) 257-9588
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 28, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 20, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1225377054) · Data from the CMS NPPES public registry.