DR. ROBERT C. BOSACK DDS
NPI 1376550558
Dentist - Oral and Maxillofacial Surgery in Orland Park, IL

Q: What is Robert Bosack's NPI number?

The NPI number for Robert Bosack is 1376550558. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Robert Bosack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Robert Bosack was last updated on January 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 01, 2006PECOS Enrolled

16011 108TH AVE, ORLAND PARK, IL 60467(708) 460-9100(708) 460-7919 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Robert C. Bosack Dds NPPES

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

DR. ROBERT C. BOSACK DDS (NPI 1376550558) is an individual oral and maxillofacial surgery provider in Orland Park, Illinois and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376550558

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. ROBERT C. BOSACKCredential: DDS

Location Address16011 108TH AVEOrland Park, IL 60467-8786

Mailing Address16011 108th AveOrland Park, IL 60467-8786 · (708) 460-9100 · Fax (708) 460-7919

Phone(708) 460-9100

Fax(708) 460-7919

Sole ProprietorYes

Enumeration DateAugust 1, 2006

Last NPPES UpdateJanuary 22, 2008

✔ NPI 1376550558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

16011 108TH AVE, Orland Park, IL 60467

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Other Identifiers 1

Medicare PIN716710IL

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. Robert C. Bosack Dds 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 60467 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 9

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

JENNIFER CHANG MD

Obstetrics & Gynecology