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DR. DOUGLAS P. KUMMER DDS
NPI 1407168008
Dentist in Alton, IL

Active since July 12, 2010PECOS Enrolled
3432 COLLEGE AVE, ALTON, IL 62002(618) 465-5815(618) 465-5927 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas P. Kummer Dds NPPES

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

DR. DOUGLAS P. KUMMER DDS (NPI 1407168008) is an individual dentist in Alton, Illinois, licensed in Illinois (019028402) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407168008
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DOUGLAS P. KUMMERCredential: DDS
Location Address3432 COLLEGE AVEAlton, IL 62002-5006
Mailing Address3432 College AveAlton, IL 62002-5006 · (618) 465-5815 · Fax (618) 465-5927
Phone(618) 465-5815
Fax(618) 465-5927
Sole ProprietorNo
Enumeration DateJuly 12, 2010
✔ NPI 1407168008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019028402
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3432 COLLEGE AVE, Alton, IL 62002
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas P. Kummer 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 62002 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 2

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

DR. FRANCIS MADAMBA DDS
Dentist (General Practice)
3432 COLLEGE AVE
ALTON, IL 62002
Madison County (618) 465-5815
DANIELA V RIEGEL DMD
Dentist
3432 COLLEGE AVE
ALTON, IL 62002
Madison County (618) 465-5815

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 Douglas Kummer's NPI number?

The NPI number for Douglas Kummer is 1407168008. It was assigned to this individual provider in the NPPES registry on July 12, 2010.

Where is Douglas Kummer located?

Douglas Kummer practices at 3432 College Ave, Alton, IL 62002. The listed phone number is (618) 465-5815.

What is Douglas Kummer's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Douglas Kummer enrolled in Medicare?

Yes. Douglas Kummer is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Kummer 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 Renaissance Dental list Douglas Kummer 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 Douglas Kummer was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.