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RICHARD JOHN BALCERAK DDS
NPI 1619987922
Dentist - Oral and Maxillofacial Surgery in Hinsdale, IL

Active since August 09, 2006PECOS Enrolled
105 E 1ST ST, STE 103, HINSDALE, IL 60521(630) 789-8070(630) 789-8071 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard John Balcerak Dds NPPES

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

RICHARD JOHN BALCERAK DDS (NPI 1619987922) is an individual oral and maxillofacial surgery provider in Hinsdale, Illinois and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1983).

NPPES Registry Identity

NPI1619987922
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameRICHARD JOHN BALCERAKCredential: DDS
Location Address105 E 1ST ST, STE 103Hinsdale, IL 60521
Mailing Address105 E 1st St, Ste 103Hinsdale, IL 60521 · (630) 789-8070 · Fax (630) 789-8071
Phone(630) 789-8070
Fax(630) 789-8071
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1983
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619987922 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.
105 E 1ST ST, Hinsdale, IL 60521
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Other Identifiers 4

Medicare ID-Type UnspecifiedK02516
Medicare ID-Type UnspecifiedK02515
Medicare UPINT38789
Medicare ID-Type UnspecifiedK02514

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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)

Richard John Balcerak Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123912375
PECOS Enrollment IDI20040210000432
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C.
Dentist (Oral and Maxillofacial Surgery)
105 E 1ST ST, SUITE 103
HINSDALE, IL 60521
Dupage County (630) 789-8070
NICOLE ROJAS PT, DPT
Physical Therapist
105 E 1ST ST
HINSDALE, IL 60521
Dupage County (630) 850-7565
DR. MICHAEL A. KLEPACKI DDS,MS
Dentist (Orthodontics and Dentofacial Orthopedics)
105 E 1ST ST, SUITE 201
HINSDALE, IL 60521
Dupage County (630) 325-0100

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 Richard Balcerak's NPI number?

The NPI number for Richard Balcerak is 1619987922. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Richard Balcerak located?

Richard Balcerak practices at 105 E 1st St Ste 103, Hinsdale, IL 60521. The listed phone number is (630) 789-8070.

What is Richard Balcerak's specialty?

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

Is Richard Balcerak enrolled in Medicare?

Yes. Richard Balcerak is registered in the Medicare PECOS enrollment system.

What insurance does Richard Balcerak 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 Richard Balcerak 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.

Is Richard Balcerak affiliated with any hospitals?

According to CMS data, Richard Balcerak is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Balcerak 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.