DR. DREW SAMUEL ELLENWOOD D.D.S.
NPI 1407878697
Dentist in Fort Smith, AR

Active since July 24, 2006PECOS Enrolled
520 S 14TH ST, FORT SMITH, AR 72901(479) 782-3005(479) 494-7490 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. Drew Samuel Ellenwood D.d.s. NPPES

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

DR. DREW SAMUEL ELLENWOOD D.D.S. (NPI 1407878697) is an individual dentist in Fort Smith, Arkansas, licensed in Arkansas (2781) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1407878697
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DREW SAMUEL ELLENWOODCredential: D.D.S.
Location Address520 S 14TH STFort Smith, AR 72901-4608
Mailing Address520 S 14th StFort Smith, AR 72901-4608 · (479) 782-3005 · Fax (479) 494-7490
Fax(479) 494-7490
Sole ProprietorYes
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1407878697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AR · 2781
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.

520 S 14TH ST, Fort Smith, AR 72901

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Drew Ellenwood is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 72901 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $79.72
  • Minimum New Patient Price $51.36
  • Maximum New Patient Price $157.74
  • Average New Patient Copayment $19.93
  • Minimum New Patient Copayment $12.84
  • Maximum New Patient Copayment $39.43

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $64.56
  • Minimum Established Patient Price $16.16
  • Maximum Established Patient Price $128.77
  • Average Established Patient Copayment $16.14
  • Minimum Established Patient Copayment $4.04
  • Maximum Established Patient Copayment $32.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. DREW SAMUEL ELLENWOOD D.D.S.

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (General Practice)
520 S 14TH ST
FORT SMITH, AR 72901
Point of Service
520 S 14TH ST
FORT SMITH, AR 72901
Dentist (General Practice)
520 S 14TH ST
FORT SMITH, AR 72901
Dentist
520 S 14TH ST
FORT SMITH, AR 72901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407878697, enumerated as an "individual" on July 24, 2006.

The provider is located at 520 S 14TH ST FORT SMITH, AR 72901 and the phone number is (479) 782-3005.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.