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DR. MATTHEW R FANTASIA DMD
NPI 1376752840
Dentist - General Practice in Wellesley, MA

Active since May 22, 2007PECOS Enrolled
372 WASHINGTON ST, WELLESLEY, MA 02481(781) 235-1146(781) 235-9195 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew R Fantasia Dmd NPPES

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

DR. MATTHEW R FANTASIA DMD (NPI 1376752840) is an individual general practice provider in Wellesley, Massachusetts, licensed in Massachusetts (20441) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376752840
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MATTHEW R FANTASIACredential: DMD
Location Address372 WASHINGTON STWellesley, MA 02481
Mailing Address372 Washington StWellesley, MA 02481 · (781) 235-1146 · Fax (781) 235-9195
Phone(781) 235-1146
Fax(781) 235-9195
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376752840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 20441
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
372 WASHINGTON ST, Wellesley, MA 02481
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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. Matthew R Fantasia Dmd 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 02481 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

ROGER LU DO
Family Medicine (Adult Medicine)
372 WASHINGTON ST
WELLESLEY, MA 02481
Norfolk County (781) 431-1200
DOREEN B. KALTER M.D.
Psychiatry & Neurology (Psychiatry)
372 WASHINGTON ST
WELLESLEY, MA 02481
Norfolk County (781) 239-3550
MEGHAN S. GARCIA WEBB M.D.
Internal Medicine
372 WASHINGTON ST
WELLESLEY, MA 02481
Norfolk County (781) 431-1200
DR. JUSTIN SANDERS GROODE M.D.
Family Medicine
372 WASHINGTON ST, MARINO CENTER FOR INTEGRATIVE HEALTH
WELLESLEY, MA 02481
Norfolk County (781) 235-5200
DR. LINDA DIANE KAMES PSY.D.
Psychologist
372 WASHINGTON ST
WELLESLEY, MA 02481
Norfolk County (781) 239-3550
DR. MICHAEL W TSAPPIS M.D.
Psychiatry & Neurology (Psychiatry)
372 WASHINGTON ST
WELLESLEY, MA 02481
Norfolk County (781) 239-3550
DR. KEVIN F TOOMEY DMD
Dentist (Prosthodontics)
372 WASHINGTON ST
WELLESLEY, MA 02481
Norfolk County (781) 235-1146
MARTHA FROST LICSW
Social Worker (Clinical)
372 WASHINGTON ST
WELLESLEY, MA 02481
Norfolk County (781) 239-3550

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 Matthew Fantasia's NPI number?

The NPI number for Matthew Fantasia is 1376752840. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Matthew Fantasia located?

Matthew Fantasia practices at 372 Washington St, Wellesley, MA 02481. The listed phone number is (781) 235-1146.

What is Matthew Fantasia's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Matthew Fantasia enrolled in Medicare?

Yes. Matthew Fantasia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Fantasia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.