DR. CARL JOHN GIMBRONE JR. D.M.D.
NPI 1912202169
Dentist in Worcester, MA

Q: What is Carl Gimbrone's NPI number?

The NPI number for Carl Gimbrone is 1912202169. It was assigned to this individual provider in the NPPES registry on January 20, 2011.

Q: What is Carl Gimbrone's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carl Gimbrone was last updated on May 27, 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 January 20, 2011PECOS Enrolled

19 TACOMA ST, WORCESTER, MA 01605(508) 854-3255(508) 853-8593 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Carl John Gimbrone Jr. D.m.d. NPPES

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

DR. CARL JOHN GIMBRONE JR. D.M.D. (NPI 1912202169) is an individual dentist in Worcester, Massachusetts, licensed in Massachusetts (DN1855572) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912202169

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CARL JOHN GIMBRONE JR.Credential: D.M.D.

Location Address19 TACOMA STWorcester, MA 01605-3516

Mailing Address650 Lincoln StWorcester, MA 01605-2060 · (508) 532-7318 · Fax (508) 853-8593

Phone(508) 854-3255

Fax(508) 853-8593

Sole ProprietorNo

Enumeration DateJanuary 20, 2011

Last NPPES UpdateMay 27, 2014

✔ NPI 1912202169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MA · DN1855572✔ Licensed in CT · 10443

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.

19 TACOMA ST, Worcester, MA 01605

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, 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. Carl John Gimbrone Jr. 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 01605 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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 20

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

ANNE WALTON

Registered Nurse