DR. LUIS PEDRO MIRON CARCAMO
NPI 1962790006
Dentist in Champaign, IL

Q: What is Luis Miron Carcamo's NPI number?

The NPI number for Luis Miron Carcamo is 1962790006. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Q: What is Luis Miron Carcamo's specialty?

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

Active since July 11, 2011PECOS Enrolled

1701 S PROSPECT AVE STE 201, CHAMPAIGN, IL 61820(217) 305-7980 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2020, Feb 7, 2017 (2 updates tracked since 2017).

On this page

About Dr. Luis Pedro Miron Carcamo NPPES

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

DR. LUIS PEDRO MIRON CARCAMO (NPI 1962790006) is an individual dentist in Champaign, Illinois, licensed in Illinois (019030115) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962790006

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. LUIS PEDRO MIRON CARCAMO

Location Address1701 S PROSPECT AVE STE 201Champaign, IL 61820-7054

Mailing Address1701 S Prospect Ave Ste 201Champaign, IL 61820-7054 · (217) 305-7980 · Fax (509) 488-9939

Phone(217) 305-7980

Sole ProprietorNo

Enumeration DateJuly 11, 2011

Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration

NPPES CertifiedOctober 16, 2024

✔ NPI 1962790006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019030115

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 DE60448654 (WA)

1701 S PROSPECT AVE STE 201, Champaign, IL 61820

Open in Google Maps ↗

Other Identifiers 1

Medicaid2044967WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Luis Pedro Miron Carcamo 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 61820 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.

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 Luis Miron Carcamo's NPI number?

The NPI number for Luis Miron Carcamo is 1962790006. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Luis Miron Carcamo located?

Luis Miron Carcamo practices at 1701 S Prospect Ave Ste 201, Champaign, IL 61820. The listed phone number is (217) 305-7980.

What is Luis Miron Carcamo's specialty?

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

Is Luis Miron Carcamo enrolled in Medicare?

Yes. Luis Miron Carcamo is registered in the Medicare PECOS enrollment system.

What insurance does Luis Miron Carcamo 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, Humana and Premera Blue Cross Blue Shield of Alaska and 2 other insurers list Luis Miron Carcamo 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 Luis Miron Carcamo was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.