IOANNIS KOUTLAS DDS
NPI 1447361332
Dentist - Oral and Maxillofacial Pathology in Minneapolis, MN

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
515 DELAWARE ST SE, 16-116 MOOS TOWER, MINNEAPOLIS, MN 55455(612) 626-5844 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ioannis Koutlas Dds NPPES

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

IOANNIS KOUTLAS DDS (NPI 1447361332) is an individual oral and maxillofacial pathology provider in Minneapolis, Minnesota, licensed in Minnesota (D11102) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota School Of Dentistry (1993).

NPPES Registry Identity

NPI1447361332
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameIOANNIS KOUTLASCredential: DDS
Location Address515 DELAWARE ST SE, 16-116 MOOS TOWERMinneapolis, MN 55455-0357
Mailing Address515 Delaware St Se, 16-116 Moos TowerMinneapolis, MN 55455-0357 · (612) 626-5844
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota School Of DentistryGraduated 1993
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1447361332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License Licensed in MN · D11102
Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

515 DELAWARE ST SE, Minneapolis, MN 55455

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

Ioannis Koutlas Dds 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 ID7719084391
PECOS Enrollment IDI20070515000570
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

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 309 times for 286 patients

Pathology examination of tissue using a microscope, moderately high complexity

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

This service was performed 101 times for 94 patients

Pathology examination of tissue using a microscope, moderately low complexity

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

This service was performed 19 times for 19 patients

Preparation of tissue for examination by removing any calcium present

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

This service was performed 12 times for 12 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.45 for a new patient copayment and $17.43 for an established patient copayment.

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 55455 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

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

  • Average Established Patient Price $69.74
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* 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.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Oral & Maxillofacial Surgery
515 DELAWARE ST SE, 7-174 MOOS TOWER
MINNEAPOLIS, MN 55455
Dentist (Oral and Maxillofacial Surgery)
515 DELAWARE ST SE, 7TH FLOOR MMHST
MINNEAPOLIS, MN 55455
Dentist (Oral and Maxillofacial Surgery)
515 DELAWARE ST SE, 7TH FLOOR MMHST
MINNEAPOLIS, MN 55455
Dentist (General Practice)
515 DELAWARE ST SE, ROOM 16-116
MINNEAPOLIS, MN 55455
Dentist (Oral and Maxillofacial Surgery)
515 DELAWARE ST SE, 7TH FLOOR, MMHST
MINNEAPOLIS, MN 55455
Dentist (Oral and Maxillofacial Surgery)
515 DELAWARE ST SE, 7-174 MOOS TOWER
MINNEAPOLIS, MN 55455
Dentist (Oral and Maxillofacial Pathology)
515 DELAWARE ST SE, 16-116 MOOS TOWER
MINNEAPOLIS, MN 55455
Dentist (Oral and Maxillofacial Pathology)
515 DELAWARE ST SE, 16-116 MOOS TOWER
MINNEAPOLIS, MN 55455
Dentist
515 DELAWARE ST SE, HOSPITAL DENTAL CLINIC
MINNEAPOLIS, MN 55455
Dentist
515 DELAWARE ST SE, CLINICAL SYSTEMS
MINNEAPOLIS, MN 55455
Physical Therapist
515 DELAWARE ST SE, TMD CLINIC
MINNEAPOLIS, MN 55455
Dentist (Oral and Maxillofacial Radiology)
515 DELAWARE ST SE, ORAL AND MAXILLOFACIAL RADIOLOGY
MINNEAPOLIS, MN 55455
Dentist (Orthodontics and Dentofacial Orthopedics)
515 DELAWARE ST SE, ORTHODONTICS CLINIC
MINNEAPOLIS, MN 55455
Psychologist (Rehabilitation)
515 DELAWARE ST SE, TMD CLINIC
MINNEAPOLIS, MN 55455
Speech-Language Pathologist
515 DELAWARE ST SE, CLEFT PALATE CLINIC
MINNEAPOLIS, MN 55455
Dentist (Prosthodontics)
515 DELAWARE ST SE, SCHOOL OF DENTISTRY
MINNEAPOLIS, MN 55455
Dentist
515 DELAWARE ST SE, 7-530 MOOS TOWER
MINNEAPOLIS, MN 55455
Dentist (Orthodontics and Dentofacial Orthopedics)
515 DELAWARE ST SE, 6-320 MOOS TOWER
MINNEAPOLIS, MN 55455
Dentist (Periodontics)
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dentist (Prosthodontics)
515 DELAWARE ST SE, CLEFT PALATE CLINIC - 6TH FLOOR MOOS TOWER
MINNEAPOLIS, MN 55455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447361332, enumerated as an "individual" on August 31, 2006.

The provider is located at 515 DELAWARE ST SE 16-116 MOOS TOWER MINNEAPOLIS, MN 55455 and the phone number is (612) 626-5844.

Dentist with taxonomy code 1223P0106X and a focus in Oral and Maxillofacial Pathology.