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BRYAN C BOUCHELION DDS
NPI 1801966478
Dentist - Oral and Maxillofacial Surgery in Orland Park, IL

Active since November 09, 2006Opted out of Medicare · through Jan 10, 2028
10713 W 159TH ST, ORLAND PARK, IL 60467(708) 301-5000(708) 403-8966 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan C Bouchelion Dds NPPES

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

BRYAN C BOUCHELION DDS (NPI 1801966478) is an individual oral and maxillofacial surgery provider in Orland Park, Illinois, licensed in Illinois (021002012) and active in the NPI registry since November 2006. He has opted out of Medicare through January 10, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801966478
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameBRYAN C BOUCHELIONCredential: DDS
Location Address10713 W 159TH STOrland Park, IL 60467
Mailing Address10713 W 159th StOrland Park, IL 60467-4531 · (708) 301-5000 · Fax (708) 403-8966
Phone(708) 301-5000
Fax(708) 403-8966
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateMay 22, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1801966478 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 · 021002012
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.
10713 W 159TH ST, Orland Park, IL 60467
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Bryan C Bouchelion Dds 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 January 10, 2020 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2020
Opt-Out In Effect ThroughJanuary 10, 2028Opt-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 60467 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 3

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

LOUIS N KOROMPILAS DDS PC
Dentist (Oral and Maxillofacial Surgery)
10713 W 159TH ST
ORLAND PARK, IL 60467
Cook County (708) 301-5000
EMAD FARD DDS
Dentist (Oral and Maxillofacial Surgery)
10713 W 159TH ST
ORLAND PARK, IL 60467
Cook County (708) 301-5000
LOUIS N KOROMPILAS DDS
Dentist (Oral and Maxillofacial Surgery)
10713 W 159TH ST
ORLAND PARK, IL 60467
Cook County (708) 301-5000

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 Bryan Bouchelion's NPI number?

The NPI number for Bryan Bouchelion is 1801966478. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Bryan Bouchelion located?

Bryan Bouchelion practices at 10713 W 159th St, Orland Park, IL 60467. The listed phone number is (708) 301-5000.

What is Bryan Bouchelion's specialty?

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

Is Bryan Bouchelion enrolled in Medicare?

No. Bryan Bouchelion has opted out of Medicare through January 10, 2028. 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 Bryan Bouchelion accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 10 other insurers list Bryan Bouchelion 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 Bryan Bouchelion was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.