MR. BERNARD W PETKOVICH DDS PA
NPI 1336253582
Dentist in Mountain Home, AR

Active since August 17, 2006PECOS Enrolled
500 HOSPITAL DR, MOUNTAIN HOME, AR 72653(870) 425-9757(870) 424-9056 Get Directions Write a Review

NPPES record last updated: May 16, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Bernard W Petkovich Dds Pa NPPES

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

MR. BERNARD W PETKOVICH DDS PA (NPI 1336253582) is an individual dentist in Mountain Home, Arkansas, licensed in Arkansas (2371) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336253582
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. BERNARD W PETKOVICHCredential: DDS PA
Location Address500 HOSPITAL DRMountain Home, AR 72653-2913
Mailing Address500 Hospital DrMountain Home, AR 72653-2913 · (870) 425-9757 · Fax (870) 424-9056
Fax(870) 424-9056
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateMay 16, 2013
NPI 1336253582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AR · 2371
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
500 HOSPITAL DR, Mountain Home, AR 72653

Accepted 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)

Mr. Bernard W Petkovich Dds Pa 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 72653 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

Dentist (General Practice)
500 HOSPITAL DR
MOUNTAIN HOME, AR 72653
Dentist (General Practice)
500 HOSPITAL DR
MOUNTAIN HOME, AR 72653
Dentist
500 HOSPITAL DR
MOUNTAIN HOME, AR 72653

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 Bernard Petkovich's NPI number?

The NPI number for Bernard Petkovich is 1336253582. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Bernard Petkovich located?

Bernard Petkovich practices at 500 Hospital Dr, Mountain Home, AR 72653. The listed phone number is (870) 425-9757.

What is Bernard Petkovich's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bernard Petkovich enrolled in Medicare?

Yes. Bernard Petkovich is registered in the Medicare PECOS enrollment system.

What insurance does Bernard Petkovich accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 10 other insurers list Bernard Petkovich 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 Bernard Petkovich was last updated on May 16, 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.