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DR. TANEENOP ARAMPHONGPHAN D.M.D.
NPI 1750766358
Dentist - Oral and Maxillofacial Surgery in Bloomington, IL

Active since July 23, 2015PECOS EnrolledAccepts Medicare Assignment
109 N REGENCY DR, BLOOMINGTON, IL 61701(309) 663-2526 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2026, Dec 30, 2019 (2 updates tracked since 2019).

About Dr. Taneenop Aramphongphan D.m.d. NPPES

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

DR. TANEENOP ARAMPHONGPHAN D.M.D. (NPI 1750766358) is an individual oral and maxillofacial surgery provider in Bloomington, Illinois, licensed in Illinois (019030316) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Midwestern University College Of Dental Medicine, Downers Grove (2015).

NPPES Registry Identity

NPI1750766358
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TANEENOP ARAMPHONGPHANCredential: D.M.D.
Location Address109 N REGENCY DRBloomington, IL 61701-3515
Mailing Address109 N Regency DrBloomington, IL 61701-3515 · (973) 847-4533 · Fax (309) 663-4788
Phone(309) 663-2526
Sole ProprietorYes
Medical School CMSMidwestern University College Of Dental Medicine, Downers GroveGraduated 2015
Enumeration DateJuly 23, 2015
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1750766358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019030316
Definition
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.
109 N REGENCY DR, Bloomington, IL 61701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 and accepts Medicare assignment

Dr. Taneenop Aramphongphan D.m.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456641752
PECOS Enrollment IDI20191009003241, I20260421002520
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 Reassignments

2

Medicare enrollment records show Taneenop Aramphongphan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capodice, Efaw, Ocheltree & Elger PLLC
Same address
Oral and Maxillofacial Surgery
109 N REGENCY DR
Bloomington, IL 61701
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1710985759 (309) 663-2526
Warren Oral & Maxillofacial Surgery Associates, LLC
760 mi
Oral and Maxillofacial Surgery
58 MOUNT BETHEL RD, SUITE 202
Warren, NJ 07059
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1447548607 (908) 222-7922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
68 services67 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
42 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 5

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

DR. JACK CAPODICE JR. MD, DMD
Dentist (Oral and Maxillofacial Surgery)
109 N REGENCY DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2526
DR. ANTHONY MITCHELL ELGER DMD
Dentist (Oral and Maxillofacial Surgery)
109 N REGENCY DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2526
DR. THOMAS CHARLES OCHELTREE JR. DMD
Dentist (Oral and Maxillofacial Surgery)
109 N REGENCY DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2526
DR. DAVID EFAW MD, DDS
Dentist (Oral and Maxillofacial Surgery)
109 N REGENCY DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2526
CAPODICE, EFAW, OCHELTREE & ELGER PLLC
Dentist (Oral and Maxillofacial Surgery)
109 N REGENCY DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2526

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 Taneenop Aramphongphan's NPI number?

The NPI number for Taneenop Aramphongphan is 1750766358. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is Taneenop Aramphongphan located?

Taneenop Aramphongphan practices at 109 N Regency Dr, Bloomington, IL 61701. The listed phone number is (309) 663-2526.

What is Taneenop Aramphongphan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Taneenop Aramphongphan enrolled in Medicare?

Yes. Taneenop Aramphongphan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Taneenop Aramphongphan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taneenop Aramphongphan reassigns Medicare benefits to 2 organizations: Capodice, Efaw, Ocheltree & Elger PLLC (Bloomington, IL) and Warren Oral & Maxillofacial Surgery Associates, LLC (Warren, NJ). Each 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 Taneenop Aramphongphan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taneenop Aramphongphan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 6 other insurers list Taneenop Aramphongphan 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.

Is Taneenop Aramphongphan affiliated with any hospitals?

According to CMS data, Taneenop Aramphongphan is affiliated with Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for Taneenop Aramphongphan was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.