DR. GARY R. PIPPENGER DDS
NPI 1568481950
Dentist - Pediatric Dentistry in South Bend, IN

Q: What is Gary Pippenger's NPI number?

The NPI number for Gary Pippenger is 1568481950. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Gary Pippenger's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Gary Pippenger was last updated on July 9, 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 July 18, 2006PECOS Enrolled

1005 E LASALLE AVE, SOUTH BEND, IN 46617(574) 245-7503(574) 245-7502 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Gary R. Pippenger Dds NPPES

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

DR. GARY R. PIPPENGER DDS (NPI 1568481950) is an individual pediatric dentistry provider in South Bend, Indiana, licensed in Indiana (12006740) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568481950

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. GARY R. PIPPENGERCredential: DDS

Location Address1005 E LASALLE AVESouth Bend, IN 46617-2818

Mailing Address1005 E Lasalle AveSouth Bend, IN 46617-2818 · (574) 245-7503 · Fax (574) 245-7502

Phone(574) 245-7503

Fax(574) 245-7502

Sole ProprietorNo

Enumeration DateJuly 18, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1568481950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IN · 12006740

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1005 E LASALLE AVE, South Bend, IN 46617

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary R. Pippenger Dds 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 46617 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

DR. RICHARD COHEN DDS

Dentist (Pediatric Dentistry)