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DR. EMIL A MOMMERS D.D.S
NPI 1659552834
Dentist - General Practice in Roscoe, IL

Active since November 16, 2007Opted out of Medicare · through Apr 26, 2028
5472 REIMER DR, ROSCOE, IL 61073(815) 623-2193(815) 623-8804 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Emil A Mommers D.d.s NPPES

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

DR. EMIL A MOMMERS D.D.S (NPI 1659552834) is an individual general practice provider in Roscoe, Illinois and active in the NPI registry since November 2007. He has opted out of Medicare through April 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659552834
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EMIL A MOMMERSCredential: D.D.S
Location Address5472 REIMER DRRoscoe, IL 61073-9228
Mailing Address5472 Reimer DrRoscoe, IL 61073-9228 · (815) 623-2193 · Fax (815) 623-8804
Phone(815) 623-2193
Fax(815) 623-8804
Sole ProprietorYes
Enumeration DateNovember 16, 2007
✔ NPI 1659552834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
5472 REIMER DR, Roscoe, IL 61073
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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. Emil A Mommers 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 April 26, 2016 through April 26, 2028.

Opt-Out Effective DateApril 26, 2016
Opt-Out In Effect ThroughApril 26, 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 61073 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 3

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

MOMMERS & MULDOWNEY
Dentist (General Practice)
5472 REIMER DR
ROSCOE, IL 61073
Winnebago County (815) 623-2133
DR. HEATHER LYNN SHICK D.M.D.
Dentist
5472 REIMER DR
ROSCOE, IL 61073
Winnebago County (815) 623-2193
EMIL MOMMERS P.C.
Dentist (General Practice)
5472 REIMER DR
ROSCOE, IL 61073
Winnebago County (815) 623-2193

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 Emil Mommers's NPI number?

The NPI number for Emil Mommers is 1659552834. It was assigned to this individual provider in the NPPES registry on November 16, 2007.

Where is Emil Mommers located?

Emil Mommers practices at 5472 Reimer Dr, Roscoe, IL 61073. The listed phone number is (815) 623-2193.

What is Emil Mommers's specialty?

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

Is Emil Mommers enrolled in Medicare?

No. Emil Mommers has opted out of Medicare through April 26, 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.

What insurance does Emil Mommers accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Emil Mommers 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 Emil Mommers was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.