DR. JOHN KENNETH FAVALE
NPI 1821180696
Dentist - General Practice in Evanston, IL

Active since September 29, 2006Opted out of Medicare · through Nov 18, 2026
1604 CHICAGO AVE, EVANSTON, IL 60201(847) 866-8844 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Kenneth Favale NPPES

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

DR. JOHN KENNETH FAVALE (NPI 1821180696) is an individual general practice provider in Evanston, Illinois and active in the NPI registry since September 2006. He has opted out of Medicare through November 18, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821180696
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN KENNETH FAVALE
Location Address1604 CHICAGO AVEEvanston, IL 60201-6017
Mailing Address404 Adelphia AveLake Bluff, IL 60044-1502 · (847) 295-6979
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1821180696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1604 CHICAGO AVE, Evanston, IL 60201

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. John Kenneth Favale 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 November 18, 2014 through November 18, 2026.

Opt-Out Effective DateNovember 18, 2014
Opt-Out In Effect ThroughNovember 18, 2026Opt-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 60201 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 10

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

Community/Behavioral Health
1604 CHICAGO AVE, SUITE 2
EVANSTON, IL 60201
Social Worker (Clinical)
1604 CHICAGO AVE, SUITE 2
EVANSTON, IL 60201
Psychologist (Clinical)
1604 CHICAGO AVE, SUITE 5
EVANSTON, IL 60201
Psychologist (Clinical)
1604 CHICAGO AVE, SUITE 5
EVANSTON, IL 60201
Clinical Neuropsychologist
1604 CHICAGO AVE, #5
EVANSTON, IL 60201
Counselor (Professional)
1604 CHICAGO AVE, SUITE 1
EVANSTON, IL 60201
Psychologist (Clinical)
1604 CHICAGO AVE
EVANSTON, IL 60201
Dietitian, Registered
1604 CHICAGO AVE, SUITE 10
EVANSTON, IL 60201

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 John Favale's NPI number?

The NPI number for John Favale is 1821180696. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is John Favale located?

John Favale practices at 1604 Chicago Ave, Evanston, IL 60201. The listed phone number is (847) 866-8844.

What is John Favale's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Favale enrolled in Medicare?

No. John Favale has opted out of Medicare through November 18, 2026. 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 John Favale accept?

Health plans from Humana and Renaissance Dental list John Favale 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 John Favale was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.