DR. PHILIP M MONTEFALCO D.D.S.
NPI 1437103017
Dentist - Oral and Maxillofacial Surgery in Indianapolis, IN

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
8445 S EMERSON AVE, SUITE 100, INDIANAPOLIS, IN 46237(317) 882-1284(317) 887-0844 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Philip M Montefalco D.d.s. NPPES

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

DR. PHILIP M MONTEFALCO D.D.S. (NPI 1437103017) is an individual oral and maxillofacial surgery provider in Indianapolis, Indiana, licensed in Indiana (12009521A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1437103017
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PHILIP M MONTEFALCOCredential: D.D.S.
Location Address8445 S EMERSON AVE, SUITE 100Indianapolis, IN 46237-9596
Mailing Address10972 Allisonville Rd, Suite 110Fishers, IN 46038-2637 · (317) 913-2363 · Fax (317) 913-2360
Fax(317) 887-0844
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 31, 2012
NPI 1437103017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in IN · 12009521A
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
8445 S EMERSON AVE, Indianapolis, IN 46237

Other Identifiers 3

Medicaid100336020IN
Medicare UPINU43574IN
Medicare ID-Type Unspecified268030EIN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip M Montefalco D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315944287
PECOS Enrollment IDI20100812000100
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
8445 S EMERSON AVE, #102
INDIANAPOLIS, IN 46237
Dentist (Oral and Maxillofacial Surgery)
8445 S EMERSON AVE, SUITE 100
INDIANAPOLIS, IN 46237
Dentist (Prosthodontics)
8445 S EMERSON AVE, SUITE 101
INDIANAPOLIS, IN 46237
Dentist (Prosthodontics)
8445 S EMERSON AVE, SUITE 101
INDIANAPOLIS, IN 46237

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 Philip Montefalco's NPI number?

The NPI number for Philip Montefalco is 1437103017. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Philip Montefalco located?

Philip Montefalco practices at 8445 S Emerson Ave Suite 100, Indianapolis, IN 46237. The listed phone number is (317) 882-1284.

What is Philip Montefalco's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Philip Montefalco enrolled in Medicare?

Yes. Philip Montefalco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Philip Montefalco accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 7 other insurers list Philip Montefalco 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 Philip Montefalco was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.