DR. DEREK JAMES BOCK D.M.D., M.S.
NPI 1356501365
Dentist - Orthodontics and Dentofacial Orthopedics in Lake Forest, IL

Active since June 12, 2008Opted out of Medicare · through Jan 4, 2028
840 S WAUKEGAN RD, SUITE 107, LAKE FOREST, IL 60045(847) 615-5437(847) 615-2955 Get Directions Write a Review

NPPES record last updated: January 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Derek James Bock D.m.d., M.s. NPPES

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

DR. DEREK JAMES BOCK D.M.D., M.S. (NPI 1356501365) is an individual orthodontics and dentofacial orthopedics provider in Lake Forest, Illinois, licensed in Illinois (021002219) and active in the NPI registry since June 2008. He has opted out of Medicare through January 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356501365
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. DEREK JAMES BOCKCredential: D.M.D., M.S.
Location Address840 S WAUKEGAN RD, SUITE 107Lake Forest, IL 60045-2608
Mailing Address840 S Waukegan Rd, Suite 107Lake Forest, IL 60045-2608 · (847) 615-5437 · Fax (847) 615-2955
Fax(847) 615-2955
Sole ProprietorNo
Enumeration DateJune 12, 2008
Last NPPES UpdateJanuary 29, 2009
NPI 1356501365 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 · 021002219
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.
840 S WAUKEGAN RD, Lake Forest, IL 60045

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Derek James Bock D.m.d., M.s. 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 January 4, 2016 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2016
Opt-Out In Effect ThroughJanuary 4, 2028Opt-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 60045 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 7

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

Dentist (Pediatric Dentistry)
840 S WAUKEGAN RD, SUITE 107
LAKE FOREST, IL 60045
Chiropractor
840 S WAUKEGAN RD, #201
LAKE FOREST, IL 60045
Radiology (Diagnostic Radiology)
840 S WAUKEGAN RD, SUITE 214
LAKE FOREST, IL 60045
Radiology (Diagnostic Radiology)
840 S WAUKEGAN RD, SUITE 214
LAKE FOREST, IL 60045
Family Medicine
840 S WAUKEGAN RD, 203
LAKE FOREST, IL 60045
Social Worker (Clinical)
840 S WAUKEGAN RD
LAKE FOREST, IL 60045
Hearing Instrument Specialist
840 S WAUKEGAN RD
LAKE FOREST, IL 60045

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 Derek Bock's NPI number?

The NPI number for Derek Bock is 1356501365. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Derek Bock located?

Derek Bock practices at 840 S Waukegan Rd Suite 107, Lake Forest, IL 60045. The listed phone number is (847) 615-5437.

What is Derek Bock's specialty?

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

Is Derek Bock enrolled in Medicare?

No. Derek Bock has opted out of Medicare through January 4, 2028. 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.

When was this NPI record last updated?

The NPPES record for Derek Bock was last updated on January 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.