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DR. JOSE GREGORIO RAVELO DDS
NPI 1457693020
Dentist - Oral and Maxillofacial Surgery in Charleston, WV

Active since March 21, 2013PECOS Enrolled
869 OAKWOOD RD, CHARLESTON, WV 25314(304) 345-1092 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jose Gregorio Ravelo Dds NPPES

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

DR. JOSE GREGORIO RAVELO DDS (NPI 1457693020) is an individual oral and maxillofacial surgery provider in Charleston, West Virginia, licensed in West Virginia (4371) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457693020
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOSE GREGORIO RAVELOCredential: DDS
Location Address869 OAKWOOD RDCharleston, WV 25314-2057
Mailing Address103 Station Place WayHurricane, WV 25526-8747 · (304) 720-7819
Phone(304) 345-1092
Sole ProprietorYes
Enumeration DateMarch 21, 2013
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1457693020 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 WV · 4371
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.
869 OAKWOOD RD, Charleston, WV 25314
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100A Prestige Park DrHurricane, WV 25526-8417 · Phone (304) 757-0272
Location 24307 MacCorkle Ave SECharleston, WV 25304-2500 · Phone (304) 345-1092

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental PPO, Highmark Blue Cross Blue Shield West Virginia, Humana 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. Jose Gregorio Ravelo Dds 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 Jose Ravelo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc
Same address
Oral and Maxillofacial Surgery
869 OAKWOOD RD
Charleston, WV 25314
  • Reassigned Medicare billing, West Virginia enrollment
  • 12 clinicians in this Medicare group
NPI 1073211637 (304) 345-1092

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 25314 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 3

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

DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
Dentist (Oral and Maxillofacial Surgery)
869 OAKWOOD RD
CHARLESTON, WV 25314
Kanawha County (304) 345-1092
DR. GORDON SCOTT WEAVER DDS
Dentist (Oral and Maxillofacial Surgery)
869 OAKWOOD RD
CHARLESTON, WV 25314
Kanawha County (304) 343-5161
SOKOLOSKY AND WEAVER DDS INC
Dentist (Oral and Maxillofacial Surgery)
869 OAKWOOD RD
CHARLESTON, WV 25314
Kanawha County (304) 343-5161

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 Jose Ravelo's NPI number?

The NPI number for Jose Ravelo is 1457693020. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Where is Jose Ravelo located?

Jose Ravelo practices at 869 Oakwood Rd, Charleston, WV 25314. The listed phone number is (304) 345-1092.

What is Jose Ravelo's specialty?

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

Is Jose Ravelo enrolled in Medicare?

Yes. Jose Ravelo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jose Ravelo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Ravelo reassigns Medicare benefits to Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc (Charleston, WV). 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 Jose Ravelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Ravelo accept?

Health plans from Delta Dental PPO, Highmark Blue Cross Blue Shield West Virginia, Humana, Renaissance Dental and Solstice Benefits and 1 other insurer list Jose Ravelo 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 Jose Ravelo was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.