JEFFREY SCOTT MASTROIANNI DMD
NPI 1326147489
Dentist - Orthodontics and Dentofacial Orthopedics in Glen Carbon, IL

Active since September 22, 2006Opted out of Medicare · through Sep 21, 2027
2220 S. STATE ROUTE 157, SUITE 125, GLEN CARBON, IL 62034(618) 288-0600(618) 288-8004 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Scott Mastroianni Dmd NPPES

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

JEFFREY SCOTT MASTROIANNI DMD (NPI 1326147489) is an individual orthodontics and dentofacial orthopedics provider in Glen Carbon, Illinois, licensed in Illinois (021002018) and active in the NPI registry since September 2006. He has opted out of Medicare through September 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1326147489
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameJEFFREY SCOTT MASTROIANNICredential: DMD
Location Address2220 S. STATE ROUTE 157, SUITE 125Glen Carbon, IL 62034-1728
Mailing Address2220 S. State Route 157, Suite 125Glen Carbon, IL 62034-1728 · (618) 288-0600 · Fax (618) 288-8004
Fax(618) 288-8004
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateOctober 24, 2014
NPI 1326147489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in IL · 021002018
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
2220 S. STATE ROUTE 157, Glen Carbon, IL 62034

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jeffrey Scott Mastroianni Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 21, 2015 through September 21, 2027.

Opt-Out Effective DateSeptember 21, 2015
Opt-Out In Effect ThroughSeptember 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62034 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.

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
2220 S. STATE ROUTE 157, SUITE 125
GLEN CARBON, IL 62034

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 Jeffrey Mastroianni's NPI number?

The NPI number for Jeffrey Mastroianni is 1326147489. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Jeffrey Mastroianni located?

Jeffrey Mastroianni practices at 2220 S. State Route 157 Suite 125, Glen Carbon, IL 62034. The listed phone number is (618) 288-0600.

What is Jeffrey Mastroianni's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Jeffrey Mastroianni enrolled in Medicare?

No. Jeffrey Mastroianni has opted out of Medicare through September 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jeffrey Mastroianni 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 Jeffrey Mastroianni 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 Jeffrey Mastroianni was last updated on October 24, 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.