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DR. LARRY TABATCHNICK DMD, MD
NPI 1821085465
Dentist - Oral and Maxillofacial Surgery in Fayetteville, NC

Active since September 29, 2005PECOS Enrolled
2409 ROBESON ST, FAYETTEVILLE, NC 28305(910) 483-9546(910) 483-8550 Get Directions Write a Review

NPPES record last updated: August 25, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Larry Tabatchnick Dmd, Md NPPES

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

DR. LARRY TABATCHNICK DMD, MD (NPI 1821085465) is an individual oral and maxillofacial surgery provider in Fayetteville, North Carolina, licensed in North Carolina (8750) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821085465
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LARRY TABATCHNICKCredential: DMD, MD
Location Address2409 ROBESON STFayetteville, NC 28305-5549
Mailing Address2409 Robeson StFayetteville, NC 28305-5549 · (910) 483-9546 · Fax (910) 483-8550
Phone(910) 483-9546
Fax(910) 483-8550
Sole ProprietorYes
Enumeration DateSeptember 29, 2005
Last NPPES UpdateAugust 25, 2009
✔ NPI 1821085465 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 NC · 8750
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.
2409 ROBESON ST, Fayetteville, NC 28305
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larry Tabatchnick Dmd, Md 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 Reassignment

Medicare enrollment records show Larry Tabatchnick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Carolina University
27 mi
Dentist
80 AUTUMN FERN TRAIL
Lillington, NC 27546
  • Reassigned Medicare billing, North Carolina enrollment
  • 930 clinicians in this Medicare group
NPI 1942633482 (910) 814-4191

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 28305 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

RYAN, JAMES, WILES, PATEL & OLSEN LLP
Dentist (Oral and Maxillofacial Surgery)
2409 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 483-9546
CHILDERS & ASSOCIATES, D.D.S., PLLC
Dentist (Oral and Maxillofacial Surgery)
2409 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 483-9546
LARRY TABATCHNICK, DMD, PLLC
Dentist (Oral and Maxillofacial Surgery)
2409 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 483-9546
CAPE FEAR ORAL AND MAXILLOFACIAL SURGERY
Clinic/Center (Dental)
2409 ROBESON ST
FAYETTEVILLE, NC 28305
Cumberland County (910) 483-9546

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 Larry Tabatchnick's NPI number?

The NPI number for Larry Tabatchnick is 1821085465. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Larry Tabatchnick located?

Larry Tabatchnick practices at 2409 Robeson St, Fayetteville, NC 28305. The listed phone number is (910) 483-9546.

What is Larry Tabatchnick's specialty?

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

Is Larry Tabatchnick enrolled in Medicare?

Yes. Larry Tabatchnick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Larry Tabatchnick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Tabatchnick reassigns Medicare benefits to East Carolina University (Lillington, NC). The 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 Larry Tabatchnick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Larry Tabatchnick was last updated on August 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.