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JAMES ROBERT SKALA III DDS
NPI 1730717596
Dentist - General Practice in Rego Park, NY

Active since March 29, 2020PECOS Enrolled
9801 67TH AVE APT 1G, REGO PARK, NY 11374(718) 896-5122 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2024, Jun 14, 2023, Sep 20, 2021 and 1 more (4 updates tracked since 2020).

About James Robert Skala Iii Dds NPPES

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

JAMES ROBERT SKALA III DDS (NPI 1730717596) is an individual general practice provider in Rego Park, New York, licensed in New York (061997) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Whitestone.

NPPES Registry Identity

NPI1730717596
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJAMES ROBERT SKALA IIICredential: DDS
Location Address9801 67TH AVE APT 1GRego Park, NY 11374-4901
Mailing Address3115 30th St Apt 3rAstoria, NY 11106-2828
Phone(718) 896-5122
Sole ProprietorYes
Enumeration DateMarch 29, 2020
Last NPPES UpdateMarch 6, 20244 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1730717596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 061997
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.
9801 67TH AVE APT 1G, Rego Park, NY 11374
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Secondary Practice Location 1

Location 115301 10th AveWhitestone, NY 11357-1255 · Phone (718) 762-0202

Other Identifiers 1

Medicaid7443630NY

Accepted Insurance

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

James Robert Skala Iii Dds 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 James Skala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Century Medical & Dental Center Inc
11 mi
Health Service
260 AVENUE X
Brooklyn, NY 11223
  • Reassigned Medicare billing, New York enrollment
  • 164 clinicians in this Medicare group
NPI 1144399098 (718) 336-8855

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 11374 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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 James Skala's NPI number?

The NPI number for James Skala is 1730717596. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is James Skala located?

James Skala practices at 9801 67th Ave Apt 1G, Rego Park, NY 11374. The listed phone number is (718) 896-5122.

What is James Skala's specialty?

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

Is James Skala enrolled in Medicare?

Yes. James Skala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Skala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Skala reassigns Medicare benefits to Century Medical & Dental Center Inc (Brooklyn, NY). 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 James Skala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Skala accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list James Skala 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 James Skala was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.