CARLEIGH PRANE DMD
NPI 1689633810
Dentist - General Practice in O Fallon, IL

Active since March 17, 2006Opted out of Medicare · through Oct 8, 2026
4945 STONE FALLS CTR, SUITE A, O FALLON, IL 62269(618) 624-2800 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carleigh Prane Dmd NPPES

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

CARLEIGH PRANE DMD (NPI 1689633810) is an individual general practice provider in O Fallon, Illinois and active in the NPI registry since March 2006. She has opted out of Medicare through October 8, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689633810
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCARLEIGH PRANECredential: DMD
Location Address4945 STONE FALLS CTR, SUITE AO Fallon, IL 62269-7802
Mailing Address4945 Stone Falls Ctr, Suite AO Fallon, IL 62269-7802 · (618) 624-2800
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1689633810 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.
4945 STONE FALLS CTR, O Fallon, IL 62269

Accepted 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

Carleigh Prane Dmd 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 October 8, 2018 through October 8, 2026.

Opt-Out Effective DateOctober 8, 2018
Opt-Out In Effect ThroughOctober 8, 2026Opt-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 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 4

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

Dentist
4945 STONE FALLS CTR, SUITE A
O FALLON, IL 62269
Dentist (Pediatric Dentistry)
4945 STONE FALLS CTR, SUITE B
O FALLON, IL 62269
Dentist (Pediatric Dentistry)
4945 STONE FALLS CTR, SUITE B
O FALLON, IL 62269
Dentist (Pediatric Dentistry)
4945 STONE FALLS CTR, SUITE B
O FALLON, IL 62269

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 Carleigh Prane's NPI number?

The NPI number for Carleigh Prane is 1689633810. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Carleigh Prane located?

Carleigh Prane practices at 4945 Stone Falls Ctr Suite A, O Fallon, IL 62269. The listed phone number is (618) 624-2800.

What is Carleigh Prane's specialty?

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

Is Carleigh Prane enrolled in Medicare?

No. Carleigh Prane has opted out of Medicare through October 8, 2026. 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 Carleigh Prane accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Carleigh Prane 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 Carleigh Prane was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.