DR. KENNETH HOWARD PESKIN D.D.S.
NPI 1619983244
Dentist - Oral and Maxillofacial Surgery in Skokie, IL

Active since August 01, 2006PECOS Enrolled
4711 GOLF RD, SUITE 408, SKOKIE, IL 60076(847) 676-4590(847) 676-4695 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Howard Peskin D.d.s. NPPES

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

DR. KENNETH HOWARD PESKIN D.D.S. (NPI 1619983244) is an individual oral and maxillofacial surgery provider in Skokie, Illinois and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619983244
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KENNETH HOWARD PESKINCredential: D.D.S.
Location Address4711 GOLF RD, SUITE 408Skokie, IL 60076-1224
Mailing Address4711 Golf Rd, Suite 408Skokie, IL 60076-1224 · (847) 676-4590 · Fax (847) 676-4695
Fax(847) 676-4695
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619983244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
4711 GOLF RD, Skokie, IL 60076

Other Identifiers 2

Medicare UPINU60578IL
Medicare ID-Type UnspecifiedL85942IL

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. Kenneth Howard Peskin 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 60076 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 20

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
4711 GOLF RD
SKOKIE, IL 60076
Chiropractor
4711 GOLF RD, SUITE 413
SKOKIE, IL 60076
Speech-Language Pathologist
4711 GOLF RD, SUITE 1100
SKOKIE, IL 60076
Speech-Language Pathologist
4711 GOLF RD, SUITE 100
SKOKIE, IL 60076
Physician Assistant
4711 GOLF RD, SUITE 1200
SKOKIE, IL 60076
Clinic/Center
4711 GOLF RD, SUITE 414
SKOKIE, IL 60076
Psychologist (Clinical)
4711 GOLF RD, SUITE 400
SKOKIE, IL 60076
Nurse Practitioner (Adult Health)
4711 GOLF RD, SUITE 807
SKOKIE, IL 60076

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 Kenneth Peskin's NPI number?

The NPI number for Kenneth Peskin is 1619983244. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Kenneth Peskin located?

Kenneth Peskin practices at 4711 Golf Rd Suite 408, Skokie, IL 60076. The listed phone number is (847) 676-4590.

What is Kenneth Peskin's specialty?

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

Is Kenneth Peskin enrolled in Medicare?

Yes. Kenneth Peskin is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Peskin accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Kenneth Peskin 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 Kenneth Peskin was last updated on July 8, 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.