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MAXIMILIAN MILES PACHECO DMD
NPI 1306524160
Dentist - General Practice in Meridian, ID

Active since July 10, 2023PECOS Enrolled
1067 S WELLS ST, MERIDIAN, ID 83642(208) 895-8486 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Jul 10, 2023 (2 updates tracked since 2023).

About Maximilian Miles Pacheco Dmd NPPES

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

MAXIMILIAN MILES PACHECO DMD (NPI 1306524160) is an individual general practice provider in Meridian, Idaho, licensed in Idaho (D-5546) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306524160
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMAXIMILIAN MILES PACHECOCredential: DMD
Location Address1067 S WELLS STMeridian, ID 83642-8596
Mailing Address1067 S Wells StMeridian, ID 83642-8596 · (208) 895-8486
Phone(208) 895-8486
Sole ProprietorYes
Enumeration DateJuly 10, 2023
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1306524160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D-5546
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.
1067 S WELLS ST, Meridian, ID 83642
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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 Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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)

Maximilian Miles Pacheco Dmd 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 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 10

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

DR. CAROLINE SEWELL DMD
Dentist (General Practice)
1067 S WELLS ST
MERIDIAN, ID 83642
Ada County (208) 895-8480
BREATHE AIRWAY MERIDIAN LLC
Dentist
1067 S WELLS ST
MERIDIAN, ID 83642
Ada County (208) 484-5702
DR. CHELSIE TODD DMD
Dentist
1067 S WELLS ST
MERIDIAN, ID 83642
Ada County (208) 261-2318
MOUNTAIN WEST MEDICAL SERVICES PLLC
Clinic/Center (Primary Care)
1067 S WELLS ST, SUITE#110
MERIDIAN, ID 83642
Ada County (208) 229-8739
KIERSTIN ELIZABETH SHAHTOUT DDS
Dentist
1067 S WELLS ST
MERIDIAN, ID 83642
Ada County (208) 895-8486
WARFORD ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
1067 S WELLS ST
MERIDIAN, ID 83642
Ada County (208) 261-2318
MRS. CHELSEA ANN HANSEN
Specialist
1067 S WELLS ST
MERIDIAN, ID 83642
Ada County (208) 895-8486
LON CHAD MCRAE DMD
Dentist
1067 S WELLS ST
MERIDIAN, ID 83642
Ada County (208) 895-8486

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 Maximilian Pacheco's NPI number?

The NPI number for Maximilian Pacheco is 1306524160. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Maximilian Pacheco located?

Maximilian Pacheco practices at 1067 S Wells St, Meridian, ID 83642. The listed phone number is (208) 895-8486.

What is Maximilian Pacheco's specialty?

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

Is Maximilian Pacheco enrolled in Medicare?

Yes. Maximilian Pacheco is registered in the Medicare PECOS enrollment system.

What insurance does Maximilian Pacheco accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Maximilian Pacheco 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 Maximilian Pacheco was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.