DR. CHARLES EDWARD PECHOUS III DDS
NPI 1518089523
Dentist - Prosthodontics in Kenosha, WI

Q: What is Charles Pechous's NPI number?

The NPI number for Charles Pechous is 1518089523. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Q: What is Charles Pechous's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: Is Charles Pechous enrolled in Medicare?

No. Charles Pechous has opted out of Medicare through June 27, 2028. 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.

Q: When was this NPI record last updated?

The NPPES record for Charles Pechous 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.

Active since April 03, 2007Opted out of Medicare · through Jun 27, 2028

6124 SHERIDAN RD, KENOSHA, WI 53143(262) 654-2423 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Charles Edward Pechous Iii Dds NPPES

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

DR. CHARLES EDWARD PECHOUS III DDS (NPI 1518089523) is an individual prosthodontics provider in Kenosha, Wisconsin, licensed in Wisconsin (4535 - 015) and active in the NPI registry since April 2007. He has opted out of Medicare through June 27, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1518089523

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. CHARLES EDWARD PECHOUS IIICredential: DDS

Location Address6124 SHERIDAN RDKenosha, WI 53143-4527

Mailing Address7202 3rd AveKenosha, WI 53143-5561 · (262) 764-0261

Phone(262) 654-2423

Sole ProprietorYes

Enumeration DateApril 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1518089523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in WI · 4535 - 015

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

6124 SHERIDAN RD, Kenosha, WI 53143

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc., Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Charles Edward Pechous Iii 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 June 27, 2016 through June 27, 2028.

Opt-Out Effective DateJune 27, 2016

Opt-Out In Effect ThroughJune 27, 2028Opt-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 53143 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 Charles Pechous's NPI number?

The NPI number for Charles Pechous is 1518089523. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Charles Pechous located?

Charles Pechous practices at 6124 Sheridan Rd, Kenosha, WI 53143. The listed phone number is (262) 654-2423.

What is Charles Pechous's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Charles Pechous enrolled in Medicare?

No. Charles Pechous has opted out of Medicare through June 27, 2028. 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.

What insurance does Charles Pechous accept?

Health plans from Delta Dental of Wisconsin, Inc. and Humana list Charles Pechous 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 Charles Pechous 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.