STEPHEN ALLEN MODELEVSKY DDS
NPI 1477647089
Dentist - Oral and Maxillofacial Pathology in Jonesboro, AR

Q: What is Stephen Modelevsky's NPI number?

The NPI number for Stephen Modelevsky is 1477647089. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Stephen Modelevsky's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Q: Is Stephen Modelevsky enrolled in Medicare?

No. Stephen Modelevsky has opted out of Medicare through December 4, 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.

Active since October 03, 2006Opted out of Medicare · through Dec 4, 2027

906 OSLER DRIVE, JONESBORO, AR 72401(870) 972-8570(870) 972-5451 Get Directions Write a Review

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

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About Stephen Allen Modelevsky Dds NPPES

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

STEPHEN ALLEN MODELEVSKY DDS (NPI 1477647089) is an individual oral and maxillofacial pathology provider in Jonesboro, Arkansas, licensed in Arkansas (2302) and active in the NPI registry since October 2006. He has opted out of Medicare through December 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477647089

Entity TypeIndividualMale

Primary Taxonomy1223P0106X

Provider Legal NameSTEPHEN ALLEN MODELEVSKYCredential: DDS

Location Address906 OSLER DRIVEJonesboro, AR 72401

Mailing AddressPo Box 1920Jonesboro, AR 72403 · (870) 972-8570 · Fax (870) 972-5451

Phone(870) 972-8570

Fax(870) 972-5451

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477647089 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 AR · 2302

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.

906 OSLER DRIVE, Jonesboro, AR 72401

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Other Identifiers 2

Medicare UPINT20486AR

Medicare ID-Type Unspecified58877AR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stephen Allen Modelevsky Dds 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 December 4, 2017 through December 4, 2027.

Opt-Out Effective DateDecember 4, 2017

Opt-Out In Effect ThroughDecember 4, 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 72401 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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 Stephen Modelevsky's NPI number?

The NPI number for Stephen Modelevsky is 1477647089. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Stephen Modelevsky located?

Stephen Modelevsky practices at 906 Osler Drive, Jonesboro, AR 72401. The listed phone number is (870) 972-8570.

What is Stephen Modelevsky's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Stephen Modelevsky enrolled in Medicare?

No. Stephen Modelevsky has opted out of Medicare through December 4, 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.

When was this NPI record last updated?

The NPPES record for Stephen Modelevsky 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.