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ELIZABETH ICENOGLE D.M.D.
NPI 1285188128
Dentist - General Practice in Spokane, WA

Active since August 09, 2016PECOS Enrolled
3415 W HORIZON AVE, SPOKANE, WA 99208(509) 954-5625 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Icenogle D.m.d. NPPES

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

ELIZABETH ICENOGLE D.M.D. (NPI 1285188128) is an individual general practice provider in Spokane, Washington, licensed in Washington (DE 60667608) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285188128
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameELIZABETH ICENOGLECredential: D.M.D.
Location Address3415 W HORIZON AVESpokane, WA 99208-8493
Mailing Address3415 W Horizon AveSpokane, WA 99208-8493 · (509) 954-5625
Phone(509) 954-5625
Sole ProprietorNo
Enumeration DateAugust 9, 2016
✔ NPI 1285188128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE 60667608
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3415 W HORIZON AVE, Spokane, WA 99208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Icenogle D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99208 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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 Elizabeth Icenogle's NPI number?

The NPI number for Elizabeth Icenogle is 1285188128. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Where is Elizabeth Icenogle located?

Elizabeth Icenogle practices at 3415 W Horizon Ave, Spokane, WA 99208. The listed phone number is (509) 954-5625.

What is Elizabeth Icenogle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Elizabeth Icenogle enrolled in Medicare?

Yes. Elizabeth Icenogle is registered in the Medicare PECOS enrollment system.

What insurance does Elizabeth Icenogle accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Elizabeth Icenogle 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 Elizabeth Icenogle was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.