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DR. CAROLINE DEVINCENZI ARCEO D.M.D.
NPI 1285086728
Dentist - Periodontics in San Luis Obispo, CA

Active since July 08, 2016Opted out of Medicare · through Dec 3, 2027
177 SANTA ROSA ST, SAN LUIS OBISPO, CA 93405(805) 544-2381 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2020, Oct 5, 2020, Dec 10, 2019 (3 updates tracked since 2019).

About Dr. Caroline Devincenzi Arceo D.m.d. NPPES

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

DR. CAROLINE DEVINCENZI ARCEO D.M.D. (NPI 1285086728) is an individual periodontics provider in San Luis Obispo, California, licensed in California (DDS104837) and active in the NPI registry since July 2016. She has opted out of Medicare through December 3, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285086728
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. CAROLINE DEVINCENZI ARCEOCredential: D.M.D.
Location Address177 SANTA ROSA STSan Luis Obispo, CA 93405-2431
Mailing Address177 Santa Rosa StSan Luis Obispo, CA 93405-2431 · (805) 544-2381
Phone(805) 544-2381
Sole ProprietorNo
Enumeration DateJuly 8, 2016
Last NPPES UpdateOctober 12, 20203 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1285086728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in CA · DDS104837✔ Licensed in OR · D11162
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
177 SANTA ROSA ST, San Luis Obispo, CA 93405
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15075 S Bradley Rd Ste 201Orcutt, CA 93455-5077 · Phone (805) 238-9581
Location 21036 Vine StPaso Robles, CA 93446-2559 · Phone (805) 238-9581

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. Caroline Devincenzi Arceo 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 December 3, 2025 through December 3, 2027.

Opt-Out Effective DateDecember 3, 2025
Opt-Out In Effect ThroughDecember 3, 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 93405 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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

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

MR. THOMAS CAMPBELL BAXTER DC
Chiropractor
177 SANTA ROSA ST, STE 1
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 544-5779

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 Caroline Arceo's NPI number?

The NPI number for Caroline Arceo is 1285086728. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Caroline Arceo located?

Caroline Arceo practices at 177 Santa Rosa St, San Luis Obispo, CA 93405. The listed phone number is (805) 544-2381.

What is Caroline Arceo's specialty?

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

Is Caroline Arceo enrolled in Medicare?

No. Caroline Arceo has opted out of Medicare through December 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Caroline Arceo was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.