Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. BERNARD L. GRADOVILLE D.D.S.
NPI 1619958600
Dentist - General Practice in Des Moines, IA

Active since November 08, 2005PECOS Enrolled
2800 INGERSOLL AVE, DES MOINES, IA 50312(515) 243-2412(515) 243-1248 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Bernard L. Gradoville D.d.s. NPPES

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

DR. BERNARD L. GRADOVILLE D.D.S. (NPI 1619958600) is an individual general practice provider in Des Moines, Iowa, licensed in Iowa (7250) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619958600
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BERNARD L. GRADOVILLECredential: D.D.S.
Location Address2800 INGERSOLL AVEDes Moines, IA 50312-4013
Mailing Address2800 Ingersoll AveDes Moines, IA 50312-4013 · (515) 243-2412 · Fax (515) 243-1248
Fax(515) 243-1248
Sole ProprietorNo
Enumeration DateNovember 8, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1619958600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IA · 7250
Definition

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.

2800 INGERSOLL AVE, Des Moines, IA 50312

Other Identifiers 1

Medicaid0048066IA

Accepted 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)

Dr. Bernard L. Gradoville D.d.s. 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

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 50312 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.84
  • Minimum New Patient Price $52.96
  • Maximum New Patient Price $161.4
  • Average New Patient Copayment $20.46
  • Minimum New Patient Copayment $13.24
  • Maximum New Patient Copayment $40.35

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.36
  • Minimum Established Patient Price $16.91
  • Maximum Established Patient Price $131.98
  • Average Established Patient Copayment $16.59
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.99

* 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.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
2800 INGERSOLL AVE
DES MOINES, IA 50312

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619958600, enumerated as an "individual" on November 08, 2005.

The provider is located at 2800 INGERSOLL AVE DES MOINES, IA 50312 and the phone number is (515) 243-2412.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.