DR. MARIA KARRAS DMD
NPI 1720475981
Dentist - Oral and Maxillofacial Surgery in Morton Grove, IL
NPI Status: Active since April 24, 2015
Contact Information
5818 DEMPSTER ST
MORTON GROVE, IL
ZIP 60053
Phone: (847) 677-6647
Fax: (847) 677-6906
- Individual
- Female
- Dentist
- Oral and Maxillofacial Surgery
- PECOS Enrolled
- Opted-Out Medicare
About MARIA KARRAS
Maria Karras is a provider established in Morton Grove, Illinois and her medical specialization is Dentist with a focus in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1720475981 assigned on April 2015. The practitioner's primary taxonomy code is 1223S0112X with license number 019.030271 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1720475981
- Provider Name
- DR. MARIA KARRAS DMD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5818 DEMPSTER ST MORTON GROVE, IL 60053
- Location Phone
- (847) 677-6647
- Location Fax
- (847) 677-6906
- Mailing Address
- 5818 DEMPSTER ST MORTON GROVE, IL 60053
- Mailing Phone
- (847) 677-6647
- Mailing Fax
- (847) 677-6906
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-24-2015
- Last Update Date
- 06-27-2022
- Code Navigator
A dentist like Maria Karras 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. Maria Karras opted out of Medicare effective on 03-23-2021 until 03-23-2023. 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.
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 Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 019.030271
- License State
- IL
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Location Map
Secondary Locations
- 601 Elmwood Ave # 705
Rochester, NY 14642
(585) 275-9004 - 1131 Broad St Ste 109
Shrewsbury, NJ 07702
(732) 542-0755
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 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | 22DI02843300 (NJ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 019030271 | OTHER (01) | IL | LICENSE |
PECOS Enrollment and Medicare Participation Status
Maria Karras 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: 03-23-2021
Opt-Out End Date: 03-23-2023
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 60053 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $96.99
- Minimum New Patient Price $63
- Maximum New Patient Price $191.32
- Average New Patient Copayment $24.24
- Minimum New Patient Copayment $15.75
- Maximum New Patient Copayment $47.83
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.33
- Minimum Established Patient Price $19.29
- Maximum Established Patient Price $155.26
- Average Established Patient Copayment $19.58
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $38.81
* 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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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 4 | 7 | 5 | 9 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 8 | 7 | 10 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 8 + 7 + 1 + 0 + 9 + 1 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1720475981 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437551660 | CHIROPRACTIC NEUROLOGY CENTER Organization | Chiropractor (Neurology) | 5818 DEMPSTER ST MORTON GROVE, IL 60053 (847) 344-4883 |
| 1295836484 | DR. SPIRO C KARRAS D.D.S. Individual | Dentist (Oral and Maxillofacial Surgery) | 5818 DEMPSTER ST MORTON GROVE, IL 60053 (847) 677-6647 |
| 1831494509 | SPIRO C. KARRAS, DDS, P.C. Organization | Clinic/Center (Dental) | 5818 DEMPSTER ST MORTON GROVE, IL 60053 (847) 677-6647 |
| 1104446095 | THERESA KARRAS, DMD, MS, PC Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 5818 DEMPSTER ST MORTON GROVE, IL 60053 (224) 300-0480 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720475981, enumerated in the NPI registry as an "individual" on April 24, 2015
The provider is located at 5818 Dempster St Morton Grove, Il 60053 and the phone number is (847) 677-6647
The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 17, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $96.99 with an average copayment of $24.24 for new patient appointments. Established patients should expect a typical charge of $78.33 and an average copayment of 19.58. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on March 23, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until March 23, 2023.
This NPI record was last updated on April 24, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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