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DR. MICHAEL PAPADIMITRIOU D.D.S.
NPI 1396993945
Oral & Maxillofacial Surgery in Chicago, IL

Active since September 08, 2008PECOS Enrolled
87.08/100
CMS Quality Rating
2440 W PETERSON AVE, CHICAGO, IL 60659(773) 761-7171 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2025, Dec 3, 2021, Dec 16, 2019 (3 updates tracked since 2019).

About Dr. Michael Papadimitriou D.d.s. NPPES

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

DR. MICHAEL PAPADIMITRIOU D.D.S. (NPI 1396993945) is an individual oral & maxillofacial surgery provider in Chicago, Illinois, licensed in Illinois (019026374) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Detroit Mercy School Of Dentistry (2003).

NPPES Registry Identity

NPI1396993945
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MICHAEL PAPADIMITRIOUCredential: D.D.S.
Location Address2440 W PETERSON AVEChicago, IL 60659-4113
Mailing Address2440 W Peterson AveChicago, IL 60659-4113 · (773) 761-7171
Phone(773) 761-7171
Sole ProprietorNo
Medical School CMSUniversity Of Detroit Mercy School Of DentistryGraduated 2003
Enumeration DateSeptember 8, 2008
Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1396993945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in IL · 019026374
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License 019026374 (IL)
2440 W PETERSON AVE, Chicago, IL 60659
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14905 Old Orchard Ctr Ste 610Skokie, IL 60077-1465 · Phone (847) 676-9303 · Fax (847) 676-9305
Location 2801 S Paulina StChicago, IL 60612-7210 · Phone (312) 996-7460

Other Identifiers 1

Medicaid019026374IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Papadimitriou D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587711171
PECOS Enrollment IDI20090420000025
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Papadimitriou reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Evaskus And Herzog, Ltd
Same address
Oral & Maxillofacial Surgery
2440 W PETERSON AVE
Chicago, IL 60659
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1316044837 (773) 761-7171
The Board Of Trustees Of The University Of Illinois
3.6 mi
Primary Care
3656 N HALSTED ST
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1588815401 (734) 726-4697

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Other Providers at the Same Location NPPES 4

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

DR. LOUIS E HALKIAS DDS, MS
Oral & Maxillofacial Surgery
2440 W PETERSON AVE
CHICAGO, IL 60659
Cook County (773) 761-7171
DR. DAVID S. EVASKUS D.D.S., M.S.
Dentist (Oral and Maxillofacial Surgery)
2440 W PETERSON AVE
CHICAGO, IL 60659
Cook County (773) 761-7171
STEVEN HERZOG D.D.S., M.S.
Oral & Maxillofacial Surgery
2440 W PETERSON AVE
CHICAGO, IL 60659
Cook County (773) 761-7171
EVASKUS AND HERZOG, LTD
Oral & Maxillofacial Surgery
2440 W PETERSON AVE
CHICAGO, IL 60659
Cook County (773) 761-7171

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 Michael Papadimitriou's NPI number?

The NPI number for Michael Papadimitriou is 1396993945. It was assigned to this individual provider in the NPPES registry on September 8, 2008.

Where is Michael Papadimitriou located?

Michael Papadimitriou practices at 2440 W Peterson Ave, Chicago, IL 60659. The listed phone number is (773) 761-7171.

What is Michael Papadimitriou's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Michael Papadimitriou enrolled in Medicare?

Yes. Michael Papadimitriou is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Papadimitriou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Papadimitriou reassigns Medicare benefits to 2 organizations: Evaskus And Herzog, Ltd (Chicago, IL) and The Board Of Trustees Of The University Of Illinois (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Papadimitriou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Papadimitriou accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Michael Papadimitriou 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 Michael Papadimitriou was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.