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GREGORY A. SANTARELLI DDS SC
NPI 1578640488
Dentist - Oral and Maxillofacial Surgery in Kenosha, WI

Active since November 01, 2006Opted out of Medicare · through May 29, 2028
5017 GREEN BAY RD, SUITE 138, KENOSHA, WI 53144(262) 654-6770(262) 654-6727 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory A. Santarelli Dds Sc NPPES

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

GREGORY A. SANTARELLI DDS SC (NPI 1578640488) is an individual oral and maxillofacial surgery provider in Kenosha, Wisconsin, licensed in Wisconsin (5188015) and active in the NPI registry since November 2006. He has opted out of Medicare through May 29, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578640488
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameGREGORY A. SANTARELLICredential: DDS SC
Location Address5017 GREEN BAY RD, SUITE 138Kenosha, WI 53144-1782
Mailing Address5017 Green Bay Rd, Suite 138Kenosha, WI 53144-1782 · (262) 654-6770 · Fax (262) 654-6727
Phone(262) 654-6770
Fax(262) 654-6727
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 10, 2008
✔ NPI 1578640488 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 WI · 5188015
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.
5017 GREEN BAY RD, Kenosha, WI 53144
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Other Identifiers 2

Medicare PIN00017992WI
Medicare UPINV0325WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Gregory A. Santarelli Dds Sc 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 May 29, 2014 through May 29, 2028.

Opt-Out Effective DateMay 29, 2014
Opt-Out In Effect ThroughMay 29, 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 53144 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.

Other Providers at the Same Location NPPES 3

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

FOREFRONT DERMATOLOGY, S.C.
Dermatology
5017 GREEN BAY RD, SUITE 138
KENOSHA, WI 53144
Kenosha County (920) 683-5278
DR. WAYNE J ANDREUCCI DDS
Dentist
5017 GREEN BAY RD, STE 136
KENOSHA, WI 53144
Kenosha County (262) 652-6121
DR. NICHOLE M ELCANO DDS
Dentist
5017 GREEN BAY RD, SUITE 136
KENOSHA, WI 53144
Kenosha County (262) 652-6121

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 Santarelli's NPI number?

The NPI number for Gregory Santarelli is 1578640488. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Gregory Santarelli located?

Gregory Santarelli practices at 5017 Green Bay Rd Suite 138, Kenosha, WI 53144. The listed phone number is (262) 654-6770.

What is Gregory Santarelli's specialty?

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

Is Gregory Santarelli enrolled in Medicare?

No. Gregory Santarelli has opted out of Medicare through May 29, 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 Gregory Santarelli accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Guardian and 2 other insurers list Gregory Santarelli 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 Santarelli was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.