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

Active since August 01, 2006Opted out of Medicare · through Jun 25, 2028
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 23, 2026.

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 has opted out of Medicare through June 25, 2028 and remains eligible to order and refer.

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

ⓘ

Opted out of Medicare

Dr. Robert C. Bosack Dds 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 June 25, 2018 through June 25, 2028.

Opt-Out Effective DateJune 25, 2018
Opt-Out In Effect ThroughJune 25, 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 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
16011 108TH AVE
ORLAND PARK, IL 60467
Cook County (708) 873-2000
WHITNEY JEAN SIGALA M.D.
Obstetrics & Gynecology
16011 108TH AVE
ORLAND PARK, IL 60467
Cook County (708) 873-2000
DR. KARA LINN TOTONCHI D.O.
Obstetrics & Gynecology
16011 108TH AVE
ORLAND PARK, IL 60467
Cook County (708) 873-2000
EDWARD RYAN MD
Obstetrics & Gynecology
16011 108TH AVE
ORLAND PARK, IL 60467
Cook County (708) 873-2000
ELIZABETH YEPEZ MD
Obstetrics & Gynecology
16011 108TH AVE
ORLAND PARK, IL 60467
Cook County (708) 364-0870
HERLANDERS WILLIAMS MD
Obstetrics & Gynecology
16011 108TH AVE
ORLAND PARK, IL 60467
Cook County (708) 364-0870
OB-GYN HEALTH ASSOCIATES SC
Obstetrics & Gynecology
16011 108TH AVE
ORLAND PARK, IL 60467
Cook County (708) 873-2000
MRS. NADINE BOKOWSKI NP
Nurse Practitioner (Women's Health)
16011 108TH AVE
ORLAND PARK, IL 60467
Cook County (708) 873-2000

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 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.

Where is Robert Bosack located?

Robert Bosack practices at 16011 108th Ave, Orland Park, IL 60467. The listed phone number is (708) 460-9100.

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.

Is Robert Bosack enrolled in Medicare?

No. Robert Bosack has opted out of Medicare through June 25, 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 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.