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DR. GREGORY D. PETRILLA DMD
NPI 1679828081
Dentist in Indiana, PA

Active since July 23, 2012PECOS Enrolled
590 INDIAN SPRINGS RD, INDIANA, PA 15701(724) 465-6100(724) 465-6110 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2019, May 22, 2019 (2 updates tracked since 2019).

About Dr. Gregory D. Petrilla Dmd NPPES

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

DR. GREGORY D. PETRILLA DMD (NPI 1679828081) is an individual dentist in Indiana, Pennsylvania, licensed in Pennsylvania (DS039264) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Clarion.

NPPES Registry Identity

NPI1679828081
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. GREGORY D. PETRILLACredential: DMD
Location Address590 INDIAN SPRINGS RDIndiana, PA 15701-3600
Mailing Address100 Shenango AveSharon, PA 16146-1503 · (724) 465-6100 · Fax (724) 465-6110
Phone(724) 465-6100
Fax(724) 465-6110
Sole ProprietorNo
Enumeration DateJuly 23, 2012
Last NPPES UpdateAugust 16, 20192 updates tracked since enumeration
✔ NPI 1679828081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS039264
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
590 INDIAN SPRINGS RD, Indiana, PA 15701
Open in Google Maps ↗

Secondary Practice Location 1

Location 130 Pinnacle DrClarion, PA 16214-3800 · Phone (814) 223-9906 · Fax (814) 223-9912

Other Identifiers 4

Medicaid1027479290003PA
Medicaid102747929PA
Medicaid1027479290001PA
Medicaid1027479290002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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)

Dr. Gregory D. Petrilla Dmd 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 Reassignment

Medicare enrollment records show Gregory Petrilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Health Network
40 mi
Federally Qualified Health Center (FQHC)
1701 12TH AVE
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 164 clinicians in this Medicare group
NPI 1053580886 (814) 942-9600

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 15701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 9

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

SHON JOSEPH SABO RDH
Dental Hygienist
590 INDIAN SPRINGS RD
INDIANA, PA 15701
Indiana County (724) 465-6100
UNION ORTHOTICS & PROSTHETICS CO
Prosthetic/Orthotic Supplier
590 INDIAN SPRINGS RD
INDIANA, PA 15701
Indiana County (724) 801-8374
MAXIMUM CHIROPRACTIC
Chiropractor (Rehabilitation)
590 INDIAN SPRINGS RD
INDIANA, PA 15701
Indiana County (724) 465-2230
DR. MOSES MICAH JEVICKY D.C,
Chiropractor
590 INDIAN SPRINGS RD, SUITE 3
INDIANA, PA 15701
Indiana County (724) 465-2230
MEGAN ELIZABETH CALHOUN M.T.
Massage Therapist
590 INDIAN SPRINGS RD, SUITE 3
INDIANA, PA 15701
Indiana County (724) 840-8251
NICOLE RHODES RDH
Dental Hygienist
590 INDIAN SPRINGS RD
INDIANA, PA 15701
Indiana County (724) 465-6100
DR. PAUL JACOB BOSTON D.C.
Chiropractor
590 INDIAN SPRINGS RD, SUITE 3
INDIANA, PA 15701
Indiana County (724) 465-2230
KARAM K PATHAN MD
Urology
590 INDIAN SPRINGS RD, SUITE 4
INDIANA, PA 15701
Indiana County (724) 349-6340

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 Gregory Petrilla's NPI number?

The NPI number for Gregory Petrilla is 1679828081. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Where is Gregory Petrilla located?

Gregory Petrilla practices at 590 Indian Springs Rd, Indiana, PA 15701. The listed phone number is (724) 465-6100.

What is Gregory Petrilla's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Gregory Petrilla enrolled in Medicare?

Yes. Gregory Petrilla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gregory Petrilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Petrilla reassigns Medicare benefits to Primary Health Network (Altoona, PA). The 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 Gregory Petrilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Petrilla accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and BEST Life and 11 other insurers list Gregory Petrilla 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 Gregory Petrilla was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.