DR. STEPHEN MORIMOTO DDS
NPI 1891014528
Dentist - Oral and Maxillofacial Surgery in Joliet, IL

Q: What is Stephen Morimoto's NPI number?

The NPI number for Stephen Morimoto is 1891014528. It was assigned to this individual provider in the NPPES registry on May 20, 2010.

Q: What is Stephen Morimoto's specialty?

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

Q: Is Stephen Morimoto enrolled in Medicare?

No. Stephen Morimoto has opted out of Medicare through May 15, 2027. 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.

Q: When was this NPI record last updated?

The NPPES record for Stephen Morimoto was last updated on May 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 20, 2010Opted out of Medicare · through May 15, 2027

219 N HAMMES AVE, JOLIET, IL 60435(815) 741-0095(815) 741-0328 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Stephen Morimoto Dds NPPES

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

DR. STEPHEN MORIMOTO DDS (NPI 1891014528) is an individual oral and maxillofacial surgery provider in Joliet, Illinois, licensed in Illinois (019-016675) and active in the NPI registry since May 2010. He has opted out of Medicare through May 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891014528

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. STEPHEN MORIMOTOCredential: DDS

Location Address219 N HAMMES AVEJoliet, IL 60435-8114

Mailing Address219 N Hammes AveJoliet, IL 60435-8114 · (815) 741-0095 · Fax (815) 741-0328

Phone(815) 741-0095

Fax(815) 741-0328

Sole ProprietorYes

Enumeration DateMay 20, 2010

✔ NPI 1891014528 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 IL · 019-016675

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.

219 N HAMMES AVE, Joliet, IL 60435

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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. Stephen Morimoto Dds 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 May 15, 2019 through May 15, 2027.

Opt-Out Effective DateMay 15, 2019

Opt-Out In Effect ThroughMay 15, 2027Opt-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 60435 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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 11

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

ASSOCIATED OPHTHALMOLOGISTS S C

Ophthalmology