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DR. KEVIN S IDELSON DDS
NPI 1407847270
Dentist - General Practice in Great Neck, NY

Active since November 02, 2005PECOS Enrolled
425 NORTHERN BLVD, GREAT NECK, NY 11021(516) 829-0339(516) 829-0357 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kevin S Idelson Dds NPPES

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

DR. KEVIN S IDELSON DDS (NPI 1407847270) is an individual general practice provider in Great Neck, New York, licensed in New York (041570) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407847270
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEVIN S IDELSONCredential: DDS
Location Address425 NORTHERN BLVDGreat Neck, NY 11021-4803
Mailing Address425 Northern BlvdGreat Neck, NY 11021-4803 · (516) 829-0339 · Fax (516) 829-0357
Phone(516) 829-0339
Fax(516) 829-0357
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407847270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 041570
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.

425 NORTHERN BLVD, Great Neck, NY 11021
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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. Kevin S Idelson 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 11021 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Frequently Asked Questions

What is Kevin Idelson's NPI number?

The NPI number assigned to this healthcare provider is 1407847270, enumerated as an "individual" on November 02, 2005.

Where is the provider located?

The provider is located at 425 NORTHERN BLVD GREAT NECK, NY 11021 and the phone number is (516) 829-0339.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.