JACK MAVROMATIS D.D.S.
NPI 1508124462
Dentist - General Practice in Virginia Beach, VA

Q: What is Jack Mavromatis's NPI number?

The NPI number for Jack Mavromatis is 1508124462. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Q: What is Jack Mavromatis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Mavromatis was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 30, 2012PECOS Enrolled

2248 SUNSTATES CT, SUITE 103, VIRGINIA BEACH, VA 23451(757) 496-9123(757) 496-2083 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack Mavromatis D.d.s. NPPES

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

JACK MAVROMATIS D.D.S. (NPI 1508124462) is an individual general practice provider in Virginia Beach, Virginia, licensed in Virginia (0401006411) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508124462

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJACK MAVROMATISCredential: D.D.S.

Location Address2248 SUNSTATES CT, SUITE 103Virginia Beach, VA 23451-1553

Mailing Address2248 Sunstates Ct, Suite 103Virginia Beach, VA 23451-1553 · (757) 496-9123 · Fax (757) 496-2083

Phone(757) 496-9123

Fax(757) 496-2083

Sole ProprietorYes

Enumeration DateApril 30, 2012

✔ NPI 1508124462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in VA · 0401006411

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.

2248 SUNSTATES CT, Virginia Beach, VA 23451

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Jack Mavromatis D.d.s. 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 23451 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 Jack Mavromatis's NPI number?

The NPI number for Jack Mavromatis is 1508124462. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Jack Mavromatis located?

Jack Mavromatis practices at 2248 Sunstates Ct Suite 103, Virginia Beach, VA 23451. The listed phone number is (757) 496-9123.

What is Jack Mavromatis's specialty?

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

Is Jack Mavromatis enrolled in Medicare?

Yes. Jack Mavromatis is registered in the Medicare PECOS enrollment system.

What insurance does Jack Mavromatis accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Jack Mavromatis 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 Jack Mavromatis was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.