GUSTAVO PENA-VELASCO D.D.S., M.S.
NPI 1851346639
Dentist - Oral and Maxillofacial Surgery in Saint Cloud, MN

Q: What is Gustavo Pena-velasco's NPI number?

The NPI number for Gustavo Pena-velasco is 1851346639. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Gustavo Pena-velasco's specialty?

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

Active since May 23, 2006PECOS Enrolled

3950 VETERANS DR, SUITE 100, SAINT CLOUD, MN 56303(320) 252-3611(320) 252-7574 Get Directions Write a Review

NPPES record last updated: March 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gustavo Pena-velasco D.d.s., M.s. NPPES

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

GUSTAVO PENA-VELASCO D.D.S., M.S. (NPI 1851346639) is an individual oral and maxillofacial surgery provider in Saint Cloud, Minnesota, licensed in Minnesota (D10925) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851346639

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameGUSTAVO PENA-VELASCOCredential: D.D.S., M.S.

Location Address3950 VETERANS DR, SUITE 100Saint Cloud, MN 56303-3410

Mailing Address3950 Veterans Dr, Suite 100Saint Cloud, MN 56303-3410 · (320) 252-3611 · Fax (320) 252-7574

Phone(320) 252-3611

Fax(320) 252-7574

Sole ProprietorNo

Enumeration DateMay 23, 2006

Last NPPES UpdateMarch 14, 2011

✔ NPI 1851346639 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 MN · D10925

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.

3950 VETERANS DR, Saint Cloud, MN 56303

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Other Identifiers 3

Medicaid976017200MN

Medicare UPINU57296MN

Medicare ID-Type Unspecified859000023MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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)

Gustavo Pena-velasco D.d.s., M.s. 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 56303 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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Other Providers at the Same Location NPPES 12

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

DONALD M. PRIMLEY D.D.S., M.S.

Dentist (Oral and Maxillofacial Surgery)

3950 VETERANS DR, SUITE 100
SAINT CLOUD, MN 56303

Stearns County (320) 252-3611

SCOTT ERIC STAMP DDS

Dentist

3950 VETERANS DR, #101
ST CLOUD, MN 56303

Stearns County (320) 252-3330

DR. MICHAEL JEROME SCHIFF D.D.S.

Dentist (Oral and Maxillofacial Surgery)

3950 VETERANS DR, SUITE 100
SAINT CLOUD, MN 56303

Stearns County (320) 252-3611

RENEE CASSIDY INGRAM BECHLY D.M.D.

Dentist (Pediatric Dentistry)

3950 VETERANS DR
SAINT CLOUD, MN 56303

Stearns County (320) 253-8380

CENTRASOTA EYE CARE, INC

Eyewear Supplier

3950 VETERANS DR, SUITE 103
SAINT CLOUD, MN 56303

Stearns County (320) 258-2020

SCOTT E STAMP DDS PLLC ROBERT W CONGDON DMD

Dentist

3950 VETERANS DR, #101
SAINT CLOUD, MN 56303

Stearns County (320) 252-3330

CENTRASOTA ORAL & MAXILLOFACIAL SURGEONS, P.A.

Dentist (Oral and Maxillofacial Surgery)

3950 VETERANS DR, SUITE 100
SAINT CLOUD, MN 56303

Stearns County (320) 252-3611

SHARON KAY LORTON M.S., O.D.

Optometrist

3950 VETERANS DR, 3950 VETERANS DR.
SAINT CLOUD, MN 56303

Stearns County (320) 258-2020

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 Gustavo Pena-velasco's NPI number?

The NPI number for Gustavo Pena-velasco is 1851346639. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Gustavo Pena-velasco located?

Gustavo Pena-velasco practices at 3950 Veterans Dr Suite 100, Saint Cloud, MN 56303. The listed phone number is (320) 252-3611.

What is Gustavo Pena-velasco's specialty?

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

Is Gustavo Pena-velasco enrolled in Medicare?

Yes. Gustavo Pena-velasco is registered in the Medicare PECOS enrollment system.

What insurance does Gustavo Pena-velasco 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 Gustavo Pena-velasco 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 Gustavo Pena-velasco was last updated on March 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.