CASEY VIDOVICH
NPI 1871901827
Dentist - General Practice in Trabuco Canyon, CA

Q: What is Casey Vidovich's NPI number?

The NPI number for Casey Vidovich is 1871901827. It was assigned to this individual provider in the NPPES registry on July 22, 2014.

Q: What is Casey Vidovich's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Casey Vidovich was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 22, 2014PECOS Enrolled

30575 TRABUCO CANYON RD, SUITE 106, TRABUCO CANYON, CA 92679(949) 858-5147 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Casey Vidovich NPPES

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

CASEY VIDOVICH (NPI 1871901827) is an individual general practice provider in Trabuco Canyon, California, licensed in California (63592) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871901827

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameCASEY VIDOVICH

Location Address30575 TRABUCO CANYON RD, SUITE 106Trabuco Canyon, CA 92679-3034

Mailing Address30575 Trabuco Canyon Rd, Suite 106Trabuco Canyon, CA 92679-3034

Phone(949) 858-5147

Sole ProprietorNo

Enumeration DateJuly 22, 2014

✔ NPI 1871901827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 63592

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.

30575 TRABUCO CANYON RD, Trabuco Canyon, CA 92679

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Accepted Insurance

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

Casey Vidovich 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 92679 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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 Casey Vidovich's NPI number?

The NPI number for Casey Vidovich is 1871901827. It was assigned to this individual provider in the NPPES registry on July 22, 2014.

Where is Casey Vidovich located?

Casey Vidovich practices at 30575 Trabuco Canyon Rd Suite 106, Trabuco Canyon, CA 92679. The listed phone number is (949) 858-5147.

What is Casey Vidovich's specialty?

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

Is Casey Vidovich enrolled in Medicare?

Yes. Casey Vidovich is registered in the Medicare PECOS enrollment system.

What insurance does Casey Vidovich accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Casey Vidovich 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 Casey Vidovich was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.