DR. PAUL EDWARD ETCHISON D.D.S.
NPI 1932334695
Dentist - General Practice in New Lenox, IL

Active since May 26, 2009PECOS Enrolled
820 LARAWAY RD, NEW LENOX, IL 60451(815) 524-6000 Get Directions Write a Review

NPPES record last updated: March 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul Edward Etchison D.d.s. NPPES

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

DR. PAUL EDWARD ETCHISON D.D.S. (NPI 1932334695) is an individual general practice provider in New Lenox, Illinois, licensed in Illinois (019.027903) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932334695
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PAUL EDWARD ETCHISONCredential: D.D.S.
Location Address820 LARAWAY RDNew Lenox, IL 60451-2694
Mailing Address820 Laraway RdNew Lenox, IL 60451-2694 · (815) 524-6000
Sole ProprietorNo
Enumeration DateMay 26, 2009
Last NPPES UpdateMarch 3, 2012
NPI 1932334695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019.027903
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
820 LARAWAY RD, New Lenox, IL 60451

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)

Dr. Paul Edward Etchison D.d.s. 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 60451 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 2

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

Clinic/Center (Dental)
820 LARAWAY RD
NEW LENOX, IL 60451
Dentist
820 LARAWAY RD
NEW LENOX, IL 60451

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 Etchison's NPI number?

The NPI number for Paul Etchison is 1932334695. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Paul Etchison located?

Paul Etchison practices at 820 Laraway Rd, New Lenox, IL 60451. The listed phone number is (815) 524-6000.

What is Paul Etchison's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Paul Etchison enrolled in Medicare?

Yes. Paul Etchison is registered in the Medicare PECOS enrollment system.

What insurance does Paul Etchison accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Paul Etchison 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 Paul Etchison was last updated on March 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.