DR. S. MICHAEL VANCIL D.M.D.
NPI 1487810461
Dentist - General Practice in Carbondale, IL

Active since July 30, 2008Opted out of Medicare · through Feb 12, 2027
1255 CEDAR CT, CARBONDALE, IL 62901(618) 529-3931(618) 529-1011 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. S. Michael Vancil D.m.d. NPPES

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

DR. S. MICHAEL VANCIL D.M.D. (NPI 1487810461) is an individual general practice provider in Carbondale, Illinois, licensed in Illinois (019-017293) and active in the NPI registry since July 2008. He has opted out of Medicare through February 12, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487810461
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. S. MICHAEL VANCILCredential: D.M.D.
Location Address1255 CEDAR CTCarbondale, IL 62901-5335
Mailing Address1255 Cedar CtCarbondale, IL 62901-5335 · (618) 529-3931 · Fax (618) 529-1011
Fax(618) 529-1011
Sole ProprietorNo
Enumeration DateJuly 30, 2008
NPI 1487810461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019-017293
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.
1255 CEDAR CT, Carbondale, IL 62901

Other Identifiers 1

Other1770632119IL · Corporate Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. S. Michael Vancil D.m.d. 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 February 12, 2015 through February 12, 2027.

Opt-Out Effective DateFebruary 12, 2015
Opt-Out In Effect ThroughFebruary 12, 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 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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

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

Dentist (Pediatric Dentistry)
1255 CEDAR CT
CARBONDALE, IL 62901

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 S. Michael Vancil's NPI number?

The NPI number for S. Michael Vancil is 1487810461. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Where is S. Michael Vancil located?

S. Michael Vancil practices at 1255 Cedar Ct, Carbondale, IL 62901. The listed phone number is (618) 529-3931.

What is S. Michael Vancil's specialty?

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

Is S. Michael Vancil enrolled in Medicare?

No. S. Michael Vancil has opted out of Medicare through February 12, 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 S. Michael Vancil was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.