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GAREY POTAMIANOS D.D.S.
NPI 1639365588
Dentist - General Practice in Riverside, IL

Active since September 24, 2007Opted out of Medicare · through Mar 2, 2027
16 E BURLINGTON ST, RIVERSIDE, IL 60546(708) 777-1800(708) 777-1801 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Garey Potamianos D.d.s. NPPES

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

GAREY POTAMIANOS D.D.S. (NPI 1639365588) is an individual general practice provider in Riverside, Illinois, licensed in Illinois (019021166) and active in the NPI registry since September 2007. He has opted out of Medicare through March 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639365588
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameGAREY POTAMIANOSCredential: D.D.S.
Location Address16 E BURLINGTON STRiverside, IL 60546-2125
Mailing Address16 E Burlington StRiverside, IL 60546-2125 · (708) 777-1800 · Fax (708) 777-1801
Phone(708) 777-1800
Fax(708) 777-1801
Sole ProprietorYes
Enumeration DateSeptember 24, 2007
Last NPPES UpdateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
✔ NPI 1639365588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019021166
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.
16 E BURLINGTON ST, Riverside, IL 60546
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Garey Potamianos D.d.s. 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 March 2, 2021 through March 2, 2027.

Opt-Out Effective DateMarch 2, 2021
Opt-Out In Effect ThroughMarch 2, 2027Opt-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 60546 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.

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 Garey Potamianos's NPI number?

The NPI number for Garey Potamianos is 1639365588. It was assigned to this individual provider in the NPPES registry on September 24, 2007.

Where is Garey Potamianos located?

Garey Potamianos practices at 16 E Burlington St, Riverside, IL 60546. The listed phone number is (708) 777-1800.

What is Garey Potamianos's specialty?

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

Is Garey Potamianos enrolled in Medicare?

No. Garey Potamianos has opted out of Medicare through March 2, 2027. 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.

What insurance does Garey Potamianos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Garey Potamianos 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 Garey Potamianos was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.