IVY ELIZABETH PRUITT DMD
NPI 1548673213
Dentist - Endodontics in Worcester, MA

Q: What is Ivy Pruitt's NPI number?

The NPI number for Ivy Pruitt is 1548673213. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Q: What is Ivy Pruitt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Ivy Pruitt was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 June 10, 2014PECOS Enrolled

303 MAIN ST STE 1A, WORCESTER, MA 01608(508) 425-4787 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Ivy Elizabeth Pruitt Dmd NPPES

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

IVY ELIZABETH PRUITT DMD (NPI 1548673213) is an individual endodontics provider in Worcester, Massachusetts, licensed in Massachusetts (DN1856734) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548673213

Entity TypeIndividualFemale

Primary Taxonomy1223E0200X

Provider Legal NameIVY ELIZABETH PRUITTCredential: DMD

Location Address303 MAIN ST STE 1AWorcester, MA 01608-1538

Mailing Address303 Main St Ste 1aWorcester, MA 01608-1538 · (508) 425-4787

Phone(508) 425-4787

Sole ProprietorYes

Enumeration DateJune 10, 2014

Last NPPES UpdateOctober 15, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1548673213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in MA · DN1856734

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

303 MAIN ST STE 1A, Worcester, MA 01608

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Humana.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)

Ivy Elizabeth Pruitt Dmd 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 01608 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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 Ivy Pruitt's NPI number?

The NPI number for Ivy Pruitt is 1548673213. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Ivy Pruitt located?

Ivy Pruitt practices at 303 Main St Ste 1A, Worcester, MA 01608. The listed phone number is (508) 425-4787.

What is Ivy Pruitt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Ivy Pruitt enrolled in Medicare?

Yes. Ivy Pruitt is registered in the Medicare PECOS enrollment system.

What insurance does Ivy Pruitt accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Humana list Ivy Pruitt 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 Ivy Pruitt was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.