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KEVIN CHARLES BEYERSDORFER DDS
NPI 1295814002
Dentist - Pediatric Dentistry in O Fallon, IL

Active since November 03, 2006PECOS Enrolled
4945 STONE FALLS CENTER, STE B, O FALLON, IL 62269(618) 622-0212(618) 622-1996 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Charles Beyersdorfer Dds NPPES

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

KEVIN CHARLES BEYERSDORFER DDS (NPI 1295814002) is an individual pediatric dentistry provider in O Fallon, Illinois, licensed in Illinois (019021773) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295814002
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameKEVIN CHARLES BEYERSDORFERCredential: DDS
Location Address4945 STONE FALLS CENTER, STE BO Fallon, IL 62269-7802
Mailing Address4945 Stone Falls Center, Suite BO Fallon, IL 62269-7802 · (618) 622-0212 · Fax (618) 622-1996
Phone(618) 622-0212
Fax(618) 622-1996
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateJune 11, 2008
✔ NPI 1295814002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 019021773
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4945 STONE FALLS CENTER, O Fallon, IL 62269
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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)

Kevin Charles Beyersdorfer Dds 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 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 Kevin Beyersdorfer's NPI number?

The NPI number for Kevin Beyersdorfer is 1295814002. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Kevin Beyersdorfer located?

Kevin Beyersdorfer practices at 4945 Stone Falls Center Ste B, O Fallon, IL 62269. The listed phone number is (618) 622-0212.

What is Kevin Beyersdorfer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Kevin Beyersdorfer enrolled in Medicare?

Yes. Kevin Beyersdorfer is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Beyersdorfer accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and DentaQuest Insurance Company-MO and 4 other insurers list Kevin Beyersdorfer 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 Kevin Beyersdorfer was last updated on June 11, 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.