BRET LESAVOY
NPI 1649736430
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since February 16, 2019PECOS Enrolled
1352 SOUTH ST # C4, PHILADELPHIA, PA 19147(267) 909-9551 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2021, Feb 16, 2019 (2 updates tracked since 2019).

About Bret Lesavoy NPPES

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

BRET LESAVOY (NPI 1649736430) is an individual pediatric dentistry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS042610) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649736430
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameBRET LESAVOY
Location Address1352 SOUTH ST # C4Philadelphia, PA 19147-1858
Mailing Address3581 Sturbridge PlAllentown, PA 18104-1776 · (484) 695-9512
Sole ProprietorNo
Enumeration DateFebruary 16, 2019
Last NPPES UpdateJuly 1, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
NPI 1649736430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in PA · DS042610
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1352 SOUTH ST # C4, Philadelphia, PA 19147

Secondary Practice Locations 2

Location 117 W Ormond AveCherry Hill, NJ 08002-3041 · Phone (856) 288-1929
Location 2240 Geiger RdPhiladelphia, PA 19115-1008 · Phone (215) 677-0380

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)

Bret Lesavoy 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 19147 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 Bret Lesavoy's NPI number?

The NPI number for Bret Lesavoy is 1649736430. It was assigned to this individual provider in the NPPES registry on February 16, 2019.

Where is Bret Lesavoy located?

Bret Lesavoy practices at 1352 South St # C4, Philadelphia, PA 19147. The listed phone number is (267) 909-9551.

What is Bret Lesavoy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Bret Lesavoy enrolled in Medicare?

Yes. Bret Lesavoy is registered in the Medicare PECOS enrollment system.

What insurance does Bret Lesavoy accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Bret Lesavoy 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 Bret Lesavoy was last updated on July 1, 2021. 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.