DR. PAUL A. SERGIO D.D.S.
NPI 1922174432
Dentist - Periodontics in South Bend, IN

Q: What is Paul Sergio's NPI number?

The NPI number for Paul Sergio is 1922174432. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Q: What is Paul Sergio's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Paul Sergio enrolled in Medicare?

No. Paul Sergio has opted out of Medicare through April 20, 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 Paul Sergio was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 27, 2006Opted out of Medicare · through Apr 20, 2027

1918 EDISON RD, SOUTH BEND, IN 46617(574) 287-8900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Paul A. Sergio D.d.s. NPPES

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

DR. PAUL A. SERGIO D.D.S. (NPI 1922174432) is an individual periodontics provider in South Bend, Indiana, licensed in Indiana (008515) and active in the NPI registry since November 2006. He has opted out of Medicare through April 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922174432

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. PAUL A. SERGIOCredential: D.D.S.

Location Address1918 EDISON RDSouth Bend, IN 46617-1711

Mailing Address1918 Edison RdSouth Bend, IN 46617-1711 · (574) 287-8900

Phone(574) 287-8900

Sole ProprietorYes

Enumeration DateNovember 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1922174432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in IN · 008515

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1918 EDISON RD, South Bend, IN 46617

Open in Google Maps ↗

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. Paul A. Sergio D.d.s. 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 April 20, 2009 through April 20, 2027.

Opt-Out Effective DateApril 20, 2009

Opt-Out In Effect ThroughApril 20, 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 46617 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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

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

PERIODONTAL ASSOCIATES OF SOUTH BEND

Dentist (Periodontics)

1918 EDISON RD
SOUTH BEND, IN 46617

St. Joseph County (574) 287-8900

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 Paul Sergio's NPI number?

The NPI number for Paul Sergio is 1922174432. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Paul Sergio located?

Paul Sergio practices at 1918 Edison Rd, South Bend, IN 46617. The listed phone number is (574) 287-8900.

What is Paul Sergio's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Paul Sergio enrolled in Medicare?

No. Paul Sergio has opted out of Medicare through April 20, 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.

When was this NPI record last updated?

The NPPES record for Paul Sergio was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.