1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Dentist
  6. NPI Profile

OLEG PROKOPENKO
NPI 1841797545
Dentist - Oral and Maxillofacial Surgery in Saint Louis, MO

Active since April 09, 2018PECOS Enrolled
621 S NEW BALLAS RD STE 16A, SAINT LOUIS, MO 63141(314) 251-6725(314) 251-6726 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Mar 25, 2020, Apr 9, 2018 (3 updates tracked since 2018).

About Oleg Prokopenko NPPES

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

OLEG PROKOPENKO (NPI 1841797545) is an individual oral and maxillofacial surgery provider in Saint Louis, Missouri, licensed in Missouri (2024020971) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1841797545
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameOLEG PROKOPENKO
Location Address621 S NEW BALLAS RD STE 16ASaint Louis, MO 63141-8239
Mailing Address621 S New Ballas Rd Ste 16aSaint Louis, MO 63141-8239 · (314) 251-6725 · Fax (314) 251-6726
Phone(314) 251-6725
Fax(314) 251-6726
Sole ProprietorNo
Enumeration DateApril 9, 2018
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1841797545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MO · 2024020971
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
621 S NEW BALLAS RD STE 16A, Saint Louis, MO 63141
Open in Google Maps ↗

Secondary Practice Locations 3

Location 122 S Greene StBaltimore, MD 21201-1590 · Phone (410) 328-5566
Location 21611 NW 12th AveMiami, FL 33136-1096 · Phone (305) 585-5326
Location 3475 Seaview AveStaten Island, NY 10305-3436 · Phone (718) 226-9877

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental, Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oleg Prokopenko 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

DR. JEFFREY TSAI DMD, MD
Oral & Maxillofacial Surgery
621 S NEW BALLAS RD STE 16A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6725
GREGORY STEPHEN TENTINDO DMD, MD
Oral & Maxillofacial Surgery
621 S NEW BALLAS RD STE 16A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6725
VISION SURGICAL ARTS, LLC
Oral & Maxillofacial Surgery
621 S NEW BALLAS RD STE 16A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6725
DR. DUSTIN R ALTMANN DMD
Dentist (Oral and Maxillofacial Surgery)
621 S NEW BALLAS RD STE 16A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6725
DR. BENTLEY JAMES ANDERSON DDS
Oral & Maxillofacial Surgery
621 S NEW BALLAS RD STE 16A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6725

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 Oleg Prokopenko's NPI number?

The NPI number for Oleg Prokopenko is 1841797545. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Oleg Prokopenko located?

Oleg Prokopenko practices at 621 S New Ballas Rd Ste 16A, Saint Louis, MO 63141. The listed phone number is (314) 251-6725.

What is Oleg Prokopenko's specialty?

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

Is Oleg Prokopenko enrolled in Medicare?

Yes. Oleg Prokopenko is registered in the Medicare PECOS enrollment system.

What insurance does Oleg Prokopenko accept?

Health plans from Delta Dental and Humana list Oleg Prokopenko 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 Oleg Prokopenko was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.