DR. SKYLAR PENBERTHY DMD
NPI 1225676919
Dentist in Boston, MA

Active since December 13, 2019Opted out of Medicare · through Mar 20, 2027
635 ALBANY ST, BOSTON, MA 02118(617) 358-8300 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2020, May 27, 2020, Dec 13, 2019 (3 updates tracked since 2019).

About Dr. Skylar Penberthy Dmd NPPES

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

DR. SKYLAR PENBERTHY DMD (NPI 1225676919) is an individual dentist in Boston, Massachusetts, licensed in Massachusetts (DN1858679) and active in the NPI registry since December 2019. He has opted out of Medicare through March 20, 2027 and remains eligible to order and refer and maintains a secondary practice location in Coeur D Alene.

NPPES Registry Identity

NPI1225676919
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SKYLAR PENBERTHYCredential: DMD
Location Address635 ALBANY STBoston, MA 02118-0211
Mailing Address635 Albany StBoston, MA 02118
Sole ProprietorYes
Enumeration DateDecember 13, 2019
Last NPPES UpdateNovember 12, 20203 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
NPI 1225676919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in MA · DN1858679 Licensed in ID · D-5099
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.

635 ALBANY ST, Boston, MA 02118

Secondary Practice Location 1

Location 1509 W Hanley Ave Ste 202Coeur D Alene, ID 83815-8994 · Phone (208) 667-8622

Accepted Insurance

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. Skylar Penberthy Dmd 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 March 20, 2025 through March 20, 2027.

Opt-Out Effective DateMarch 20, 2025
Opt-Out In Effect ThroughMarch 20, 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 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

Student in an Organized Health Care Education/Training Program
635 ALBANY ST
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
635 ALBANY ST
BOSTON, MA 02118
Dentist
635 ALBANY ST
BOSTON, MA 02118
Dentist (Endodontics)
635 ALBANY ST
BOSTON, MA 02118
Dentist (Periodontics)
635 ALBANY ST, BU DENTAL SCHOOL
BOSTON, MA 02118
Dentist (Prosthodontics)
635 ALBANY ST
BOSTON, MA 02118
Dentist
635 ALBANY ST
BOSTON, MA 02118
Dentist (General Practice)
635 ALBANY ST
BOSTON, MA 02118

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 Skylar Penberthy's NPI number?

The NPI number for Skylar Penberthy is 1225676919. It was assigned to this individual provider in the NPPES registry on December 13, 2019.

Where is Skylar Penberthy located?

Skylar Penberthy practices at 635 Albany St, Boston, MA 02118. The listed phone number is (617) 358-8300.

What is Skylar Penberthy's specialty?

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

Is Skylar Penberthy enrolled in Medicare?

No. Skylar Penberthy has opted out of Medicare through March 20, 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.

What insurance does Skylar Penberthy accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Skylar Penberthy 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 Skylar Penberthy was last updated on November 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.