Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Bernard Gradoville's NPI number?

The NPI number for Bernard Gradoville is 1619958600. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Bernard Gradoville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

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: August 09, 2026.

On this page

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

Phone(515) 243-2412

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

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Other Identifiers 1

Medicaid0048066IA

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

✔

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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 50312 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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

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

INGERSOLL FAMILY DENTISTRY

Dentist (General Practice)

2800 INGERSOLL AVE
DES MOINES, IA 50312

Polk County (515) 243-2412

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 Bernard Gradoville's NPI number?

The NPI number for Bernard Gradoville is 1619958600. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Bernard Gradoville located?

Bernard Gradoville practices at 2800 Ingersoll Ave, Des Moines, IA 50312. The listed phone number is (515) 243-2412.

What is Bernard Gradoville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bernard Gradoville enrolled in Medicare?

Yes. Bernard Gradoville is registered in the Medicare PECOS enrollment system.

What insurance does Bernard Gradoville 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 and Delta Dental of Iowa list Bernard Gradoville 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 Bernard Gradoville was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.