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DR. COURTNEY MICHELSON PANTIRER D.M.D.
NPI 1265837553
Dentist - Periodontics in Newark, NJ

Active since October 29, 2014Opted out of Medicare · through Mar 17, 2028
110 BERGEN ST, NEWARK, NJ 07103(973) 972-4242 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 8, 2023, Jun 28, 2018 (2 updates tracked since 2018).

About Dr. Courtney Michelson Pantirer D.m.d. NPPES

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

DR. COURTNEY MICHELSON PANTIRER D.M.D. (NPI 1265837553) is an individual periodontics provider in Newark, New Jersey, licensed in New Jersey (22DI02874600) and active in the NPI registry since October 2014. She has opted out of Medicare through March 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265837553
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. COURTNEY MICHELSON PANTIRERCredential: D.M.D.
Location Address110 BERGEN STNewark, NJ 07103-2495
Mailing Address25 Wells LnShort Hills, NJ 07078-2843 · (504) 250-7887
Phone(973) 972-4242
Sole ProprietorNo
Enumeration DateOctober 29, 2014
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1265837553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NJ · 22DI02874600
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.
110 BERGEN ST, Newark, NJ 07103
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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. Courtney Michelson Pantirer D.m.d. 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 17, 2016 through March 17, 2028.

Opt-Out Effective DateMarch 17, 2016
Opt-Out In Effect ThroughMarch 17, 2028Opt-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 07103 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

LEAH SOOYEON NAM DMD
Student in an Organized Health Care Education/Training Program
110 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-9592
DR. THOMAS GREGORY KEELING D.M.D.
Student in an Organized Health Care Education/Training Program
110 BERGEN ST, C723
NEWARK, NJ 07103
Essex County (973) 972-4621
DR. CHERYL LYNN BIBER D.M.D.
Dentist (General Practice)
110 BERGEN ST, UMDNJ - NEW JERSEY DENTAL SCHOOL
NEWARK, NJ 07103
Essex County (973) 972-0833
KEVIN LE DDS
Student in an Organized Health Care Education/Training Program
110 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-3126
DR. JULYANA GOMES ZAGURY DMD, MSD
Dentist (General Practice)
110 BERGEN ST, RM D860
NEWARK, NJ 07103
Essex County (973) 972-7210
CLAUDIA SOTO
Dentist (General Practice)
110 BERGEN ST
NEWARK, NJ 07103
Essex County (862) 245-1222
DR. STEVEN MARK BAUM
Dentist (Oral and Maxillofacial Surgery)
110 BERGEN ST, UMDNJ DS C-768
NEWARK, NJ 07103
Essex County (973) 972-4717
DR. REBECCA REED DMD
Dentist
110 BERGEN ST, SUITE 7700
NEWARK, NJ 07103
Essex County (972) 972-2444

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 Courtney Pantirer's NPI number?

The NPI number for Courtney Pantirer is 1265837553. It was assigned to this individual provider in the NPPES registry on October 29, 2014.

Where is Courtney Pantirer located?

Courtney Pantirer practices at 110 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-4242.

What is Courtney Pantirer's specialty?

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

Is Courtney Pantirer enrolled in Medicare?

No. Courtney Pantirer has opted out of Medicare through March 17, 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 Courtney Pantirer was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.