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DR. ERIC H SERRANO FORTY DMD
NPI 1417012709
Dentist - General Practice in Bayamon, PR

Active since December 27, 2006PECOS Enrolled
MAGNOLIA AVE., H-1, BAYAMON, PR 00956(787) 786-5819(787) 798-5749 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Eric H Serrano Forty Dmd NPPES

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

DR. ERIC H SERRANO FORTY DMD (NPI 1417012709) is an individual general practice provider in Bayamon, Puerto Rico, licensed in Texas (30867) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417012709
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ERIC H SERRANO FORTYCredential: DMD
Location AddressMAGNOLIA AVE., H-1Bayamon, PR 00956
Mailing AddressPo Box 3722Bayamon, PR 00958-0722 · (787) 786-5819 · Fax (787) 798-5749
Phone(787) 786-5819
Fax(787) 798-5749
Sole ProprietorYes
Enumeration DateDecember 27, 2006
Last NPPES UpdateApril 7, 2020
NPPES CertifiedApril 7, 2020
✔ NPI 1417012709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in TX · 30867✔ Licensed in PR · 1945
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.

Other Identifiers 1

Other4-1772SEPR · Sss Medical Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric H Serrano Forty Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Eric Serrano Forty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cossma Inc
Primary Care
AVE EL JIBARO CARR 172 KM 13 5
Cidra, PR 00739
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 86 clinicians in this Medicare group
NPI 1437235793 (787) 739-8182

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00956 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
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 NPPES & CMS

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

What is Eric Serrano Forty's NPI number?

The NPI number for Eric Serrano Forty is 1417012709. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Eric Serrano Forty located?

Eric Serrano Forty practices at Magnolia Ave. H-1, Bayamon, PR 00956. The listed phone number is (787) 786-5819.

What is Eric Serrano Forty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Eric Serrano Forty enrolled in Medicare?

Yes. Eric Serrano Forty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eric Serrano Forty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Serrano Forty reassigns Medicare benefits to Cossma Inc (Cidra, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Serrano Forty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Serrano Forty accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Eric Serrano Forty 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 Eric Serrano Forty was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.