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ROY NORTHCUTT DMD
NPI 1639231020
Dentist in Gillespie, IL

Active since December 14, 2006Opted out of Medicare · through Feb 18, 2028
709 STAUNTON RD, GILLESPIE, IL 62033(217) 839-2135 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Roy Northcutt Dmd NPPES

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

ROY NORTHCUTT DMD (NPI 1639231020) is an individual dentist in Gillespie, Illinois and active in the NPI registry since December 2006. He has opted out of Medicare through February 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639231020
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameROY NORTHCUTTCredential: DMD
Location Address709 STAUNTON RDGillespie, IL 62033-1756
Mailing Address709 Staunton RdGillespie, IL 62033-1756 · (217) 839-2135
Phone(217) 839-2135
Sole ProprietorYes
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639231020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
709 STAUNTON RD, Gillespie, IL 62033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Roy Northcutt Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 18, 2016 through February 18, 2028.

Opt-Out Effective DateFebruary 18, 2016
Opt-Out In Effect ThroughFebruary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62033 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

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 Roy Northcutt's NPI number?

The NPI number for Roy Northcutt is 1639231020. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Roy Northcutt located?

Roy Northcutt practices at 709 Staunton Rd, Gillespie, IL 62033. The listed phone number is (217) 839-2135.

What is Roy Northcutt's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Roy Northcutt enrolled in Medicare?

No. Roy Northcutt has opted out of Medicare through February 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Roy Northcutt 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.