DR. ANTHONY F DELIO DDS
NPI 1548302300
Dentist - General Practice in Moriches, NY
NPI Status: Active since February 12, 2007
- Individual
- Male
- Dentist
- General Practice
- PECOS Enrolled
About ANTHONY DELIO
Anthony Delio is a provider established in Moriches, New York and his medical specialization is Dentist with a focus in general practice . The healthcare provider is registered in the NPI registry with number 1548302300 assigned on February 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 040449-1 (NY). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1548302300
- Provider Name
- DR. ANTHONY F DELIO DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 110 MONTAUK HWY MORICHES, NY 11955
- Location Phone
- (631) 878-4488
- Mailing Address
- 110 MONTAUK HWY MORICHES, NY 11955
- Mailing Phone
- (631) 878-4488
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-12-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Anthony Delio is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 040449-1
- License State
- NY
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
BEST Life
- BEST Dental Advantage - Gold - PPO
- BEST Dental Plus - Gold - PPO
- BESTne Advantage Gold - Indemnity
- BESTOne Advantage Gold - Indemnity
- BESTOne Advantage Gold - PPO
- BESTOne Advantage High - PPO
- BESTOne Base Low - PPO
- BESTOne Base Silver - Indemnity
- BESTOne Base Silver - PPO
- BESTOne Basic - PPO
- BESTOne Basic Silver - Indemnity
- BESTOne Basic Silver - PPO
- BESTOne Dental Plus-Silver - PPO
- BESTOne Gold Plus - PPO
- BESTOne Gold Plus - Indemnity
Florida Combined Life
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
Humana
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
Renaissance Dental
- Alabama Preferred Plan - PPO
- Alabama Preferred Plan (Pediatric Only) - PPO
- Alabama Preferred Plus Plan - PPO
- Alabama Preferred Plus Plan (Pediatric Only) - PPO
- Alabama Wellness Essentials Plan - PPO
- Florida Preferred Plan - PPO
- Florida Preferred Plan (Pediatric Only) - PPO
- Florida Preferred Plus Plan - PPO
- Florida Preferred Plus Plan (Pediatric Only) - PPO
- Florida Wellness Essentials Plan - PPO
- High PPO Dental Plan - PPO
- High PPO Dental Plan (Pediatric Only) - PPO
- Kansas Preferred Plan - PPO
- Kansas Preferred Plan (Pediatric Only) - PPO
- Kansas Wellness Essentials Plan - PPO
UnitedHealthcare
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Anthony Delio is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 11955 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $109.58
- Minimum New Patient Price $71.49
- Maximum New Patient Price $215.02
- Average New Patient Copayment $27.39
- Minimum New Patient Copayment $17.87
- Maximum New Patient Copayment $53.75
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $88.17
- Minimum Established Patient Price $22.05
- Maximum Established Patient Price $174.06
- Average Established Patient Copayment $22.04
- Minimum Established Patient Copayment $5.51
- Maximum Established Patient Copayment $43.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 4 | 8 | 3 | 0 | 2 | 3 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 6 | 0 | 4 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 6 + 0 + 4 + 3 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1548302300 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982746756 | DR. DEAN F DELLEDONNE DDS Individual | Dentist (General Practice) | 110 MONTAUK HWY MORICHES, NY 11955 (631) 878-4488 |
| 1336369974 | DR. DANIELLE MICHELLE BAKER D.D.S. Individual | Dentist (General Practice) | 110 MONTAUK HWY MORICHES, NY 11955 (631) 878-4488 |
| 1013256114 | FAMILY DENTISTRY LLP Organization | Dentist | 110 MONTAUK HWY MORICHES, NY 11955 (631) 878-4488 |
| 1255851739 | GENTLE DENTISTRY OF LANCASTER, PLLC Organization | Dentist (General Practice) | 110 MONTAUK HWY MORICHES, NY 11955 (631) 693-4106 |
| 1770101131 | DR. FATIMA MAHMUD DMD Individual | Dentist | 110 MONTAUK HWY MORICHES, NY 11955 (631) 878-4488 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548302300, enumerated in the NPI registry as an "individual" on February 12, 2007
The provider is located at 110 Montauk Hwy Moriches, Ny 11955 and the phone number is (631) 878-4488
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: BEST Life, Florida Combined Life, Humana,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $109.58 with an average copayment of $27.39 for new patient appointments. Established patients should expect a typical charge of $88.17 and an average copayment of 22.04. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on February 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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