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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: October 25, 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
Phone(267) 909-9551
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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1240 Geiger RdPhiladelphia, PA 19115-1008 · Phone (215) 677-0380
Location 217 W Ormond AveCherry Hill, NJ 08002-3041 · Phone (856) 288-1929

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 Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Bret Lesavoy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Luke's Physician Group Inc
21 mi
Urogynecology and Reconstructive Pelvic Surgery
419 S BROAD ST UNIT 4
Lansdale, PA 19446
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1295620607 (215) 536-3200
Star Community Health, Inc
47 mi
General Practice
511 E 3RD ST STE 202
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 318 clinicians in this Medicare group
NPI 1033686159 (484) 526-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Bret Lesavoy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bret Lesavoy reassigns Medicare benefits to 2 organizations: St Luke's Physician Group Inc (Lansdale, PA) and Star Community Health, Inc (Bethlehem, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bret Lesavoy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 8 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.