SCOTT DAVID PELOK DDS
NPI 1477600039
Dentist - General Practice in Cleveland, OH

Active since January 05, 2007PECOS Enrolled
9601 CHESTER AVE STE 345C, CLEVELAND, OH 44106(216) 368-2486 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Scott David Pelok Dds NPPES

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

SCOTT DAVID PELOK DDS (NPI 1477600039) is an individual general practice provider in Cleveland, Ohio, licensed in Ohio (30020109) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477600039
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSCOTT DAVID PELOKCredential: DDS
Location Address9601 CHESTER AVE STE 345CCleveland, OH 44106-1666
Mailing Address9601 Chester Ave Ste 345cCleveland, OH 44106-1666 · (216) 368-2486
Sole ProprietorYes
Enumeration DateJanuary 5, 2007
Last NPPES UpdateNovember 30, 2022
NPPES CertifiedNovember 30, 2022
NPI 1477600039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OH · 30020109
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.
9601 CHESTER AVE STE 345C, Cleveland, OH 44106

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 (PECOS)

Scott David Pelok 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 Scott Pelok's NPI number?

The NPI number for Scott Pelok is 1477600039. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Scott Pelok located?

Scott Pelok practices at 9601 Chester Ave Ste 345C, Cleveland, OH 44106. The listed phone number is (216) 368-2486.

What is Scott Pelok's specialty?

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

Is Scott Pelok enrolled in Medicare?

Yes. Scott Pelok is registered in the Medicare PECOS enrollment system.

What insurance does Scott Pelok accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Scott Pelok 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 Scott Pelok was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.