DR. BENJAMIN ANTHONY LOGIUDICE D.D.S.
NPI 1255341178
Dentist - Oral and Maxillofacial Surgery in Deerfield, IL

Active since August 09, 2006Opted out of Medicare · through Jan 1, 2027
720 OSTERMAN AVE, SUITE 102, DEERFIELD, IL 60015(847) 945-6700(847) 945-6707 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Benjamin Anthony Logiudice D.d.s. NPPES

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

DR. BENJAMIN ANTHONY LOGIUDICE D.D.S. (NPI 1255341178) is an individual oral and maxillofacial surgery provider in Deerfield, Illinois and active in the NPI registry since August 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255341178
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BENJAMIN ANTHONY LOGIUDICECredential: D.D.S.
Location Address720 OSTERMAN AVE, SUITE 102Deerfield, IL 60015-4471
Mailing Address720 Osterman Ave, Suite 102Deerfield, IL 60015-4471 · (847) 945-6700 · Fax (847) 945-6707
Fax(847) 945-6707
Sole ProprietorYes
Enumeration DateAugust 9, 2006
Last NPPES UpdateJanuary 31, 2008
NPI 1255341178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
720 OSTERMAN AVE, Deerfield, IL 60015

Other Identifiers 1

Medicare UPINU96579IL

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. Benjamin Anthony Logiudice D.d.s. 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 January 1, 2011 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2011
Opt-Out In Effect ThroughJanuary 1, 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 60015 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 16

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

Dentist (Oral and Maxillofacial Surgery)
720 OSTERMAN AVE, SUITE 102
DEERFIELD, IL 60015
Clinic/Center (Radiology)
720 OSTERMAN AVE, #102
DEERFIELD, IL 60015
Dentist (General Practice)
720 OSTERMAN AVE, SUITE 304
DEERFIELD, IL 60015
Internal Medicine
720 OSTERMAN AVE, SUITE 103
DEERFIELD, IL 60015
Dentist (General Practice)
720 OSTERMAN AVE, SUITE 305
DEERFIELD, IL 60015
Specialist
720 OSTERMAN AVE, SUITE 103
DEERFIELD, IL 60015
Dentist
720 OSTERMAN AVE, #305
DEERFIELD, IL 60015
Dentist (General Practice)
720 OSTERMAN AVE, SUITE 300
DEERFIELD, IL 60015

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 Benjamin Logiudice's NPI number?

The NPI number for Benjamin Logiudice is 1255341178. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Benjamin Logiudice located?

Benjamin Logiudice practices at 720 Osterman Ave Suite 102, Deerfield, IL 60015. The listed phone number is (847) 945-6700.

What is Benjamin Logiudice's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Benjamin Logiudice enrolled in Medicare?

No. Benjamin Logiudice has opted out of Medicare through January 1, 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 Benjamin Logiudice was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.