DR. PHILIP JOSEPH PANDOLFI DMD
NPI 1790848711
Dentist - Oral and Maxillofacial Surgery in Fort Gregg Adams, VA

Active since December 19, 2006Opted out of Medicare · through Jun 1, 2027
300 CENTRAL AVE, FORT GREGG ADAMS, VA 23801(804) 734-5454 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2023, Feb 14, 2018 (2 updates tracked since 2018).

About Dr. Philip Joseph Pandolfi Dmd NPPES

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

DR. PHILIP JOSEPH PANDOLFI DMD (NPI 1790848711) is an individual oral and maxillofacial surgery provider in Fort Gregg Adams, Virginia, licensed in Virginia (0401007043) and active in the NPI registry since December 2006. He has opted out of Medicare through June 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790848711
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PHILIP JOSEPH PANDOLFICredential: DMD
Location Address300 CENTRAL AVEFort Gregg Adams, VA 23801-1526
Mailing Address300 Central AveFort Gregg Adams, VA 23801-1526 · (804) 734-5454
Sole ProprietorNo
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
NPI 1790848711 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 VA · 0401007043
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.
300 CENTRAL AVE, Fort Gregg Adams, VA 23801

Other Identifiers 1

Other139547VA · Anthem

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Philip Joseph Pandolfi Dmd 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 June 1, 2017 through June 1, 2027.

Opt-Out Effective DateJune 1, 2017
Opt-Out In Effect ThroughJune 1, 2027Opt-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 23801 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Dental Hygienist
300 CENTRAL AVE
FT GREGGADAMS, VA 23801
Dental Assistant
300 CENTRAL AVE, BLDG 18036
FORT LEE, VA 23801
Dentist (General Practice)
300 CENTRAL AVE
FORT LEE, VA 23801
Dental Assistant
300 CENTRAL AVE, BLDG 18036
FORT LEE, VA 23801
Dental Hygienist
300 CENTRAL AVE, BLGD. 18036
FORT LEE, VA 23801

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 Philip Pandolfi's NPI number?

The NPI number for Philip Pandolfi is 1790848711. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Philip Pandolfi located?

Philip Pandolfi practices at 300 Central Ave, Fort Gregg Adams, VA 23801. The listed phone number is (804) 734-5454.

What is Philip Pandolfi's specialty?

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

Is Philip Pandolfi enrolled in Medicare?

No. Philip Pandolfi has opted out of Medicare through June 1, 2027. 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.

What insurance does Philip Pandolfi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Philip Pandolfi 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 Philip Pandolfi was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.