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ROBERT A PETCASH DMD PC
NPI 1295097442
Dentist - Oral and Maxillofacial Surgery in Gibsonia, PA

Active since June 13, 2012
2879 W HARDIES RD, GIBSONIA, PA 15044(724) 444-7770(724) 444-7676 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert A Petcash Dmd Pc NPPES

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

ROBERT A PETCASH DMD PC (NPI 1295097442) is a healthcare organization registered as an oral and maxillofacial surgery in Gibsonia, Pennsylvania and active in the NPI registry since June 2012. The organization lists Robert A Petcash, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295097442
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameROBERT A PETCASH DMD PC
Location Address2879 W HARDIES RDGibsonia, PA 15044-8203
Mailing Address2879 W Hardies RdGibsonia, PA 15044-8203 · (724) 444-7770 · Fax (724) 444-7676
Phone(724) 444-7770
Fax(724) 444-7676
Organization SubpartNo
Authorized OfficialRobert A PetcashCeo · (724) 444-7770
Enumeration DateJune 13, 2012
Last NPPES UpdateJanuary 8, 2013
✔ NPI 1295097442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · 027733
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.
2879 W HARDIES RD, Gibsonia, PA 15044
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Other Identifiers 1

Medicare UPINU61801PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert A Petcash Dmd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20130107000143Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Robert A Petcash Dmd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Petcash, D.M.D.
Maxillofacial Surgery
NPI 1699739300
2879 W HARDIES RD
Gibsonia, PA 15044
(724) 444-7770
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Robert A Petcash Dmd PC's NPI number?

The NPI number for Robert A Petcash Dmd PC is 1295097442. It was assigned to this organization in the NPPES registry on June 13, 2012.

Where is Robert A Petcash Dmd PC located?

Robert A Petcash Dmd PC is located at 2879 W Hardies Rd, Gibsonia, PA 15044. The listed phone number is (724) 444-7770.

What is Robert A Petcash Dmd PC's specialty?

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

Is Robert A Petcash Dmd PC enrolled in Medicare?

Yes. Robert A Petcash Dmd PC is registered in the Medicare PECOS enrollment system.

When is Robert A Petcash Dmd PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Robert A Petcash Dmd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Robert A Petcash Dmd PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Robert A Petcash Dmd PC accept?

Health plans from UnitedHealthcare list Robert A Petcash Dmd PC 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 Robert A Petcash Dmd PC was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.