DR. KEVIN L. PATTERSON DDS
NPI 1730203019
Dentist in Riverdale, IL

Q: What is Kevin Patterson's NPI number?

The NPI number for Kevin Patterson is 1730203019. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Kevin Patterson's specialty?

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

Q: Is Kevin Patterson enrolled in Medicare?

No. Kevin Patterson has opted out of Medicare through May 4, 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.

Q: When was this NPI record last updated?

The NPPES record for Kevin Patterson 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.

Active since March 19, 2007Opted out of Medicare · through May 4, 2028

61 W 144TH ST, RIVERDALE, IL 60827(708) 849-8627(708) 849-6231 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Dr. Kevin L. Patterson Dds NPPES

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

DR. KEVIN L. PATTERSON DDS (NPI 1730203019) is an individual dentist in Riverdale, Illinois and active in the NPI registry since March 2007. He has opted out of Medicare through May 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730203019

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KEVIN L. PATTERSONCredential: DDS

Location Address61 W 144TH STRiverdale, IL 60827-2850

Mailing Address61 W 144th StRiverdale, IL 60827-2850 · (708) 849-8627 · Fax (708) 849-6231

Phone(708) 849-8627

Fax(708) 849-6231

Sole ProprietorNo

Enumeration DateMarch 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1730203019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

61 W 144TH ST, Riverdale, IL 60827

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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

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Opted out of Medicare

Dr. Kevin L. Patterson Dds 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 May 4, 2022 through May 4, 2028.

Opt-Out Effective DateMay 4, 2022

Opt-Out In Effect ThroughMay 4, 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 60827 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 11

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

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