DR. CARLA RENEE LEWIS D.D.S.
NPI 1740305515
Dentist - General Practice in East Saint Louis, IL

Active since March 20, 2007PECOS Enrolled
3129 STATE ST, EAST SAINT LOUIS, IL 62205(618) 274-4040(618) 274-0452 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Carla Renee Lewis D.d.s. NPPES

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

DR. CARLA RENEE LEWIS D.D.S. (NPI 1740305515) is an individual general practice provider in East Saint Louis, Illinois and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740305515
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CARLA RENEE LEWISCredential: D.D.S.
Location Address3129 STATE STEast Saint Louis, IL 62205-2203
Mailing Address3129 State StEast Saint Louis, IL 62205-2203 · (618) 274-4040 · Fax (618) 274-0452
Fax(618) 274-0452
Sole ProprietorNo
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1740305515 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.

3129 STATE ST, East Saint Louis, IL 62205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Carla Renee Lewis D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62205 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740305515, enumerated as an "individual" on March 20, 2007.

The provider is located at 3129 STATE ST EAST SAINT LOUIS, IL 62205 and the phone number is (618) 274-4040.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.