STEPHEN W GEORGE DMD
NPI 1700136645
Dentist - General Practice in Leesburg, FL
- Individual
- Male
- Dentist
- General Practice
- PECOS Enrolled
- Opted-Out Medicare
About STEPHEN GEORGE
This page provides the complete NPI Profile along with additional information for Stephen George, a provider established in Leesburg, Florida with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1700136645 assigned on September 2012. The practitioner's primary taxonomy code is 1223G0001X with license number DN23848 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1700136645 Verify this NPI
- Provider Name
- STEPHEN W GEORGE DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 606 W MAGNOLIA ST LEESBURG, FL 34748
- Location Phone
- (352) 787-4800
- Mailing Address
- 606 W MAGNOLIA ST LEESBURG, FL 34748
- Mailing Phone
- (352) 787-4800
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-19-2012
- Last Update Date
- 07-06-2021
- Code Navigator
A dentist like Stephen George is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Stephen George opted out of Medicare effective on 05-16-2024 until 05-16-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 6421 Saratoga Blvd Bldg 102
Corpus Christi, TX 78414
(361) 992-0311
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- DN23848
- License State
- FL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist | D9769 (OR) |
| 2 | 1223G0001X | Dental Providers | Dentist | 32544 (TX) |
Medicare Participation & PECOS Enrollment Status
Stephen George is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-16-2024
Opt-Out End Date: 05-16-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 34748 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.62
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $21.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.04
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $17.51
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700136645, enumerated as an "individual" on September 19, 2012.
The provider is located at 606 W MAGNOLIA ST LEESBURG, FL 34748 and the phone number is (352) 787-4800.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.