MAURO PEDRINE SANTAMARIA DDS
NPI 1790402113
Dentist - Periodontics in Hazard, KY

Q: What is Mauro Pedrine Santamaria's NPI number?

The NPI number for Mauro Pedrine Santamaria is 1790402113. It was assigned to this individual provider in the NPPES registry on October 26, 2022. The provider is also known as Mauro Pedrine Santamaria Dds, Ms, Phd.

Q: What is Mauro Pedrine Santamaria's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since October 26, 2022PECOS Enrolled

750 MORTON BLVD, HAZARD, KY 41701(606) 439-3557(606) 439-1422 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2024, Oct 26, 2022 (2 updates tracked since 2022).

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About Mauro Pedrine Santamaria Dds NPPES

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

MAURO PEDRINE SANTAMARIA DDS (NPI 1790402113) is an individual periodontics provider in Hazard, Kentucky, licensed in Kentucky (10855) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1790402113

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameMAURO PEDRINE SANTAMARIACredential: DDS

Location Address750 MORTON BLVDHazard, KY 41701-9469

Mailing Address1095 Veterans Dr Office 406bLexington, KY 40536-0305 · (443) 563-7917

Phone(606) 439-3557

Fax(606) 439-1422

Sole ProprietorNo

Enumeration DateOctober 26, 2022

Last NPPES UpdateApril 18, 20252 updates tracked since enumeration

NPPES CertifiedApril 18, 2025

✔ NPI 1790402113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in KY · 10855

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License 10855 (KY)

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 10855 (KY)

750 MORTON BLVD, Hazard, KY 41701

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Other Names 1

Other Name (5)Mauro Pedrine Santamaria Dds, Ms, Phd

Secondary Practice Location 1

Location 12195 Harrodsburg Rd Ste 175Lexington, KY 40504-3523 · Phone (859) 323-8873 · Fax (859) 323-7193

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mauro Pedrine Santamaria 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 Reassignments

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

Kentucky Medical Services Foundation, Inc

84 mi

Internal Medicine

2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
1,502 clinicians in this Medicare group

NPI 1326091448 (859) 257-7910

University Of Kentucky

87 mi

Adult Medicine

217 ELM TREE LN
Lexington, KY 40507

Reassigned Medicare billing, Kentucky enrollment
1,761 clinicians in this Medicare group

NPI 1881641769 (859) 257-7920

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 41701 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 20

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

DR. SHERRY SLONE DMD

Dentist (Dental Public Health)