PETER DANIEL CARLESIMO DDS
NPI 1902898307
Dentist in Salem, OR

Active since August 22, 2005PECOS Enrolled
3490 LANCASTER DR NE, SALEM, OR 97305(855) 433-6825 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2022, Nov 15, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Peter Daniel Carlesimo Dds NPPES

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

PETER DANIEL CARLESIMO DDS (NPI 1902898307) is an individual dentist in Salem, Oregon, licensed in Oregon (D9514) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902898307
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NamePETER DANIEL CARLESIMOCredential: DDS
Location Address3490 LANCASTER DR NESalem, OR 97305-1356
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (855) 433-6825
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateOctober 6, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2020
NPI 1902898307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D9514
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 · General PracticeTaxonomy 1223G0001X · License DE61007889 (WA)
3490 LANCASTER DR NE, Salem, OR 97305

Other Identifiers 1

OtherD9514OR · Dentist License

Accepted 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)

Peter Daniel Carlesimo Dds 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 97305 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 13

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

Dentist (Endodontics)
3490 LANCASTER DR NE
SALEM, OR 97305
Dentist (Oral and Maxillofacial Surgery)
3490 LANCASTER DR NE
SALEM, OR 97305
Dental Hygienist
3490 LANCASTER DR NE
SALEM, OR 97305
Dental Hygienist
3490 LANCASTER DR NE
SALEM, OR 97305
Dental Hygienist
3490 LANCASTER DR NE
SALEM, OR 97305
Dental Hygienist
3490 LANCASTER DR NE
SALEM, OR 97305
Dentist
3490 LANCASTER DR NE
SALEM, OR 97305
Dentist (Orthodontics and Dentofacial Orthopedics)
3490 LANCASTER DR NE
SALEM, OR 97305

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 Peter Carlesimo's NPI number?

The NPI number for Peter Carlesimo is 1902898307. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Peter Carlesimo located?

Peter Carlesimo practices at 3490 Lancaster Dr NE, Salem, OR 97305. The listed phone number is (855) 433-6825.

What is Peter Carlesimo's specialty?

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

Is Peter Carlesimo enrolled in Medicare?

Yes. Peter Carlesimo is registered in the Medicare PECOS enrollment system.

What insurance does Peter Carlesimo 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 Dental Health Services and 6 other insurers list Peter Carlesimo 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 Peter Carlesimo was last updated on October 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.