DR. BARRY ALLEM MENTZEL D.D.S.
NPI 1659319218
Dentist - Periodontics in St Clair Shores, MI

Active since June 03, 2006Opted out of Medicare · through Mar 22, 2028
19925 E 10 MILE RD, ST CLAIR SHORES, MI 48080(586) 772-1880 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Barry Allem Mentzel D.d.s. NPPES

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

DR. BARRY ALLEM MENTZEL D.D.S. (NPI 1659319218) is an individual periodontics provider in St Clair Shores, Michigan, licensed in Michigan (100005) and active in the NPI registry since June 2006. He has opted out of Medicare through March 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659319218
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BARRY ALLEM MENTZELCredential: D.D.S.
Location Address19925 E 10 MILE RDSt Clair Shores, MI 48080-1069
Mailing Address19925 E 10 Mile RdSt Clair Shores, MI 48080-1069 · (586) 772-1880
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1659319218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in MI · 100005
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

19925 E 10 MILE RD, St Clair Shores, MI 48080

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Barry Allem Mentzel 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 22, 2014 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2014
Opt-Out In Effect ThroughMarch 22, 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 48080 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Periodontics)
19925 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Dentist (Periodontics)
19925 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080

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 Barry Mentzel's NPI number?

The NPI number for Barry Mentzel is 1659319218. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Barry Mentzel located?

Barry Mentzel practices at 19925 E 10 Mile Rd, St Clair Shores, MI 48080. The listed phone number is (586) 772-1880.

What is Barry Mentzel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Barry Mentzel enrolled in Medicare?

No. Barry Mentzel has opted out of Medicare through March 22, 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 Barry Mentzel was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.