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DR. SCOTT MICHAEL BIETSCH D.M.D.
NPI 1902119837
Dentist in Carbondale, IL

Active since July 20, 2010PECOS Enrolled
402 S LEWIS LN, CARBONDALE, IL 62901(618) 519-9200 Get Directions Write a Review

NPPES record last updated: December 9, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Scott Michael Bietsch D.m.d. NPPES

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

DR. SCOTT MICHAEL BIETSCH D.M.D. (NPI 1902119837) is an individual dentist in Carbondale, Illinois, licensed in Illinois (019.028399) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902119837
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SCOTT MICHAEL BIETSCHCredential: D.M.D.
Location Address402 S LEWIS LNCarbondale, IL 62901-3547
Mailing AddressPo Box 577, 109 California StCarterville, IL 62818-0577 · (618) 985-8221
Phone(618) 519-9200
Sole ProprietorNo
Enumeration DateJuly 20, 2010
Last NPPES UpdateDecember 9, 2016
✔ NPI 1902119837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.028399
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 021002781 (IL)
402 S LEWIS LN, Carbondale, IL 62901
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Other Identifiers 1

Medicare PIN640701IL

Accepted Insurance

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

Dr. Scott Michael Bietsch D.m.d. 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 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 7

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

AUDREY FIELDS DDS
Dentist
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
GINA FERRARO RDH
Dental Hygienist
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
ANGELICA FERNANDO DMD
Dentist (General Practice)
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
MARIESSA LORAE ORSO RDH
Dental Hygienist
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
SAHITYA CHIRAMANA DMD
Dentist
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
DR. ARJUN GAUBA
Dentist
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
OLUMAYOMIDE COKER DMD
Dentist (General Practice)
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200

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 Scott Bietsch's NPI number?

The NPI number for Scott Bietsch is 1902119837. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Where is Scott Bietsch located?

Scott Bietsch practices at 402 S Lewis Ln, Carbondale, IL 62901. The listed phone number is (618) 519-9200.

What is Scott Bietsch's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Scott Bietsch enrolled in Medicare?

Yes. Scott Bietsch is registered in the Medicare PECOS enrollment system.

What insurance does Scott Bietsch accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Scott Bietsch 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 Scott Bietsch was last updated on December 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.