Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. GREGORY J LUTCAVAGE D.D.S.
NPI 1518917657
Dentist - Oral and Maxillofacial Surgery in Goldsboro, NC

Active since May 11, 2006Opted out of Medicare · through Jan 1, 2027
2400 WAYNE MEMORIAL DR, SUITE K, GOLDSBORO, NC 27534(919) 736-2082(919) 734-0893 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory J Lutcavage D.d.s. NPPES

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

DR. GREGORY J LUTCAVAGE D.D.S. (NPI 1518917657) is an individual oral and maxillofacial surgery provider in Goldsboro, North Carolina, licensed in North Carolina (5406) and active in the NPI registry since May 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1518917657
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GREGORY J LUTCAVAGECredential: D.D.S.
Location Address2400 WAYNE MEMORIAL DR, SUITE KGoldsboro, NC 27534-1789
Mailing Address2400 Wayne Memorial Dr, Suite KGoldsboro, NC 27534-1789 · (919) 736-2082 · Fax (919) 734-0893
Fax(919) 734-0893
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1518917657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NC · 5406
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2400 WAYNE MEMORIAL DR, Goldsboro, NC 27534

Other Identifiers 3

Other95411NC · Bcbs Of Nc
Other418529NC · United Concordia
Medicaid8995411NC

Accepted Insurance

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. Gregory J Lutcavage D.d.s. 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 January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015
Opt-Out In Effect ThroughJanuary 1, 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 27534 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 15

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

Dentist (Oral and Maxillofacial Surgery)
2400 WAYNE MEMORIAL DR, SUITE K
GOLDSBORO, NC 27534
Advanced Practice Midwife
2400 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Internal Medicine
2400 WAYNE MEMORIAL DR, STE I
GOLDSBORO, NC 27534
Internal Medicine (Nephrology)
2400 WAYNE MEMORIAL DR, SUITE D
GOLDSBORO, NC 27534
Clinic/Center
2400 WAYNE MEMORIAL DR, SUITE J
GOLDSBORO, NC 27534
Nurse Practitioner (Family)
2400 WAYNE MEMORIAL DR, SUITE I
GOLDSBORO, NC 27534
Psychologist
2400 WAYNE MEMORIAL DR, SUITE E
GOLDSBORO, NC 27534
Internal Medicine
2400 WAYNE MEMORIAL DR, SUITE J
GOLDSBORO, NC 27534

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 Gregory Lutcavage's NPI number?

The NPI number for Gregory Lutcavage is 1518917657. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Gregory Lutcavage located?

Gregory Lutcavage practices at 2400 Wayne Memorial Dr Suite K, Goldsboro, NC 27534. The listed phone number is (919) 736-2082.

What is Gregory Lutcavage's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Gregory Lutcavage enrolled in Medicare?

No. Gregory Lutcavage has opted out of Medicare through January 1, 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.

What insurance does Gregory Lutcavage accept?

Health plans from Blue Cross and Blue Shield of Alabama, Delta Dental of North Carolina, Florida Combined Life, Humana and TRUASSURE INSURANCE COMPANY and 1 other insurer list Gregory Lutcavage 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 Gregory Lutcavage was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.