SARA RODEFFER D.M.D
NPI 1578915260
Dentist - General Practice in Quincy, IL
About Sara Rodeffer D.m.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA RODEFFER D.M.D (NPI 1578915260) is an individual general practice provider in Quincy, Illinois, licensed in Illinois (019.030790) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sara Rodeffer D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sara Rodeffer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Keokuk, IA 52632
- Reassigned Medicare billing, Iowa enrollment
- 43 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
QUINCY, IL 62305
QUINCY, IL 62305
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 Sara Rodeffer's NPI number?
The NPI number for Sara Rodeffer is 1578915260. It was assigned to this individual provider in the NPPES registry on July 6, 2016. The provider is also known as Sara Crocks D.M.D..
Where is Sara Rodeffer located?
Sara Rodeffer practices at 3740 E Lake Ctr Suite B, Quincy, IL 62305. The listed phone number is (217) 214-4545.
What is Sara Rodeffer's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Sara Rodeffer enrolled in Medicare?
Yes. Sara Rodeffer is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sara Rodeffer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sara Rodeffer reassigns Medicare benefits to Community Health Centers Of Southeastern Iowa, Inc (Keokuk, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Rodeffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sara Rodeffer accept?
Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 16 other insurers list Sara Rodeffer 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 Sara Rodeffer was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Sara Rodeffer, D.M.D · NPI 1578915260
General Practice provider in Quincy, Illinois. Individual provider, active in the CMS NPPES registry since July 6, 2016.
## Identity
- **NPI:** 1578915260 (Entity type: Individual)
- **Enumerated:** July 6, 2016
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 019.030790 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3740 E LAKE CTR, SUITE B, Quincy, IL 62305-5805
- **Phone:** (217) 214-4545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Community Health Centers Of Southeastern Iowa, Inc (NPI 1154866903, Keokuk, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1578915260) · Data from the CMS NPPES public registry.