GIL B IVRY D.D.S
NPI 1407162381
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

Active since August 30, 2010Opted out of Medicare · through Jun 16, 2028
10833 LECONTE AVE, A0-156 CHS, LOS ANGELES, CA 90095(310) 825-0834(310) 794-2198 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gil B Ivry D.d.s NPPES

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

GIL B IVRY D.D.S (NPI 1407162381) is an individual oral and maxillofacial surgery provider in Los Angeles, California, licensed in California (59665) and active in the NPI registry since August 2010. He has opted out of Medicare through June 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407162381
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameGIL B IVRYCredential: D.D.S
Location Address10833 LECONTE AVE, A0-156 CHSLos Angeles, CA 90095-0001
Mailing Address2726 Pacific AveVenice, CA 90291-4406 · (805) 453-0951
Fax(310) 794-2198
Sole ProprietorYes
Enumeration DateAugust 30, 2010
NPI 1407162381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 59665
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.
10833 LECONTE AVE, Los Angeles, CA 90095

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Gil B Ivry D.d.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 June 16, 2016 through June 16, 2028.

Opt-Out Effective DateJune 16, 2016
Opt-Out In Effect ThroughJune 16, 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 90095 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 14

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

Pediatrics
10833 LECONTE AVE, 32-263 CHS
LOS ANGELES, CA 90095
Medical Genetics (Clinical Genetics (M.D.))
10833 LECONTE AVE, MDCC 12-334
LOS ANGELES, CA 90095
Pediatrics (Pediatric Gastroenterology)
10833 LECONTE AVE, 12-441 MDCC
LOS ANGELES, CA 90095
Neurological Surgery
10833 LECONTE AVE
LOS ANGELES, CA 90095
Dentist (Dentist Anesthesiologist)
10833 LECONTE AVE, 53-039 CHS
LOS ANGELES, CA 90095
Dentist (Periodontics)
10833 LECONTE AVE
LOS ANGELES, CA 90095
Dentist (Dentist Anesthesiologist)
10833 LECONTE AVE, 53-039 CHS
LOS ANGELES, CA 90095
Pathology (Neuropathology)
10833 LECONTE AVE, BOX 951732, A7-149 CHS BOX 116
LOS ANGELES, CA 90095

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 Gil Ivry's NPI number?

The NPI number for Gil Ivry is 1407162381. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Where is Gil Ivry located?

Gil Ivry practices at 10833 Leconte Ave A0-156 Chs, Los Angeles, CA 90095. The listed phone number is (310) 825-0834.

What is Gil Ivry's specialty?

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

Is Gil Ivry enrolled in Medicare?

No. Gil Ivry has opted out of Medicare through June 16, 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.

What insurance does Gil Ivry 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 and Humana list Gil Ivry 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 Gil Ivry was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.