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DR. JERRY MICHAEL CARBONE D.M.D.
NPI 1316050628
Dentist - Endodontics in Boise, ID

Active since August 17, 2006PECOS Enrolled
12249 W MCMILLAN RD, BOISE, ID 83713(208) 917-2855(208) 258-7553 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Michael Carbone D.m.d. NPPES

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

DR. JERRY MICHAEL CARBONE D.M.D. (NPI 1316050628) is an individual endodontics provider in Boise, Idaho, licensed in Idaho (D-3642EN) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316050628
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JERRY MICHAEL CARBONECredential: D.M.D.
Location Address12249 W MCMILLAN RDBoise, ID 83713-0555
Mailing Address12249 W Mcmillan RdBoise, ID 83713-0555 · (208) 917-2855 · Fax (208) 258-7553
Phone(208) 917-2855
Fax(208) 258-7553
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateOctober 1, 2014
✔ NPI 1316050628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in ID · D-3642EN
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
12249 W MCMILLAN RD, Boise, ID 83713
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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)

Dr. Jerry Michael Carbone 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 83713 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 3

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

INTERMOUNTAIN DENTAL SPECIALISTS
Clinic/Center (Dental)
12249 W MCMILLAN RD
BOISE, ID 83713
Ada County (208) 917-2855
SCOTT ALAN WRIGHT DDS
Dentist (General Practice)
12249 W MCMILLAN RD
BOISE, ID 83713
Ada County (208) 322-0024
KENYON L OYLER DDS
Dentist
12249 W MCMILLAN RD, CONTENNTAL DENTAL CENTER
BOISE, ID 83713
Ada County (208) 322-0024

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 Jerry Carbone's NPI number?

The NPI number for Jerry Carbone is 1316050628. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Jerry Carbone located?

Jerry Carbone practices at 12249 W Mcmillan Rd, Boise, ID 83713. The listed phone number is (208) 917-2855.

What is Jerry Carbone's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jerry Carbone enrolled in Medicare?

Yes. Jerry Carbone is registered in the Medicare PECOS enrollment system.

What insurance does Jerry Carbone 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 Florida Combined Life list Jerry Carbone 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 Jerry Carbone was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.