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DR. RANDY ANTHONY SCARPINITI D.D.S.
NPI 1417061037
Dentist in Lombard, IL

Active since August 19, 2006Opted out of Medicare · through Sep 10, 2027
719 S MAIN ST STE A, LOMBARD, IL 60148(630) 916-9156(630) 916-9162 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Randy Anthony Scarpiniti D.d.s. NPPES

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

DR. RANDY ANTHONY SCARPINITI D.D.S. (NPI 1417061037) is an individual dentist in Lombard, Illinois and active in the NPI registry since August 2006. He has opted out of Medicare through September 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417061037
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RANDY ANTHONY SCARPINITICredential: D.D.S.
Location Address719 S MAIN ST STE ALombard, IL 60148-3369
Mailing Address719 S Main St Ste ALombard, IL 60148-3369 · (630) 916-9156 · Fax (630) 916-9162
Phone(630) 916-9156
Fax(630) 916-9162
Sole ProprietorYes
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417061037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
719 S MAIN ST STE A, Lombard, IL 60148
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Randy Anthony Scarpiniti D.d.s. 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 September 10, 2015 through September 10, 2027.

Opt-Out Effective DateSeptember 10, 2015
Opt-Out In Effect ThroughSeptember 10, 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 60148 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 Randy Scarpiniti's NPI number?

The NPI number for Randy Scarpiniti is 1417061037. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Randy Scarpiniti located?

Randy Scarpiniti practices at 719 S Main St Ste A, Lombard, IL 60148. The listed phone number is (630) 916-9156.

What is Randy Scarpiniti's specialty?

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

Is Randy Scarpiniti enrolled in Medicare?

No. Randy Scarpiniti has opted out of Medicare through September 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Randy Scarpiniti accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Randy Scarpiniti 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 Randy Scarpiniti was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.