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DR. LEA MANOSOV DDS
NPI 1407961089
Dentist in Modesto, CA

Active since August 21, 2006Opted out of Medicare · through Apr 12, 2027
2020 COFFEE RD, STE E, MODESTO, CA 95385(209) 571-9855(209) 571-9874 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lea Manosov Dds NPPES

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

DR. LEA MANOSOV DDS (NPI 1407961089) is an individual dentist in Modesto, California, licensed in California (48326) and active in the NPI registry since August 2006. She has opted out of Medicare through April 12, 2027.

NPPES Registry Identity

NPI1407961089
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. LEA MANOSOVCredential: DDS
Location Address2020 COFFEE RD, STE EModesto, CA 95385-2421
Mailing Address2020 Coffee Rd, Ste EModesto, CA 95385-2421 · (209) 571-9855 · Fax (209) 571-9874
Phone(209) 571-9855
Fax(209) 571-9874
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1407961089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 48326
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.
2020 COFFEE RD, Modesto, CA 95385
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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Lea Manosov Dds 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 April 12, 2023 through April 12, 2027.

Opt-Out Effective DateApril 12, 2023
Opt-Out In Effect ThroughApril 12, 2027Opt-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 95385 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lea Manosov's NPI number?

The NPI number for Lea Manosov is 1407961089. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Lea Manosov located?

Lea Manosov practices at 2020 Coffee Rd Ste E, Modesto, CA 95385. The listed phone number is (209) 571-9855.

What is Lea Manosov's specialty?

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

Is Lea Manosov enrolled in Medicare?

No. Lea Manosov has opted out of Medicare through April 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Lea Manosov accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Lea Manosov 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 Lea Manosov was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.