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DR. PHILIP R BANGHART D.D.S.
NPI 1982609087
Dentist - Oral and Maxillofacial Surgery in Mattoon, IL

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
102 PROFESSIONAL PLZ, MATTOON, IL 61938(217) 345-7070(217) 345-7077 Get Directions Write a Review

NPPES record last updated: November 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Philip R Banghart D.d.s. NPPES

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

DR. PHILIP R BANGHART D.D.S. (NPI 1982609087) is an individual oral and maxillofacial surgery provider in Mattoon, Illinois, licensed in Illinois (019-021176) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Univ Of Illinois At Chicago College Of Dentistry (1988).

NPPES Registry Identity

NPI1982609087
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PHILIP R BANGHARTCredential: D.D.S.
Location Address102 PROFESSIONAL PLZMattoon, IL 61938-9252
Mailing Address102 Professional PlzMattoon, IL 61938-9252 · (217) 345-7070 · Fax (217) 345-7077
Phone(217) 345-7070
Fax(217) 345-7077
Sole ProprietorYes
Medical School CMSUniv Of Illinois At Chicago College Of DentistryGraduated 1988
Enumeration DateJune 15, 2005
Last NPPES UpdateNovember 10, 2008
✔ NPI 1982609087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019-021176
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
102 PROFESSIONAL PLZ, Mattoon, IL 61938
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Other Identifiers 3

Medicare ID-Type Unspecified373441IL
Medicare UPINU57907IL
Medicaid019-021176IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip R Banghart D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193884534
PECOS Enrollment IDI20081030000324
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.

Medicare Billing Reassignment

Medicare enrollment records show Philip Banghart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affiliates In Oral & Maxillofacial Surgery Ltd
41 mi
Oral and Maxillofacial Surgery
3112 VILLAGE OFFICE PL
Champaign, IL 61822
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1215196290 (217) 351-7111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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 Philip Banghart's NPI number?

The NPI number for Philip Banghart is 1982609087. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Philip Banghart located?

Philip Banghart practices at 102 Professional Plz, Mattoon, IL 61938. The listed phone number is (217) 345-7070.

What is Philip Banghart's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Philip Banghart enrolled in Medicare?

Yes. Philip Banghart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Philip Banghart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Banghart reassigns Medicare benefits to Affiliates In Oral & Maxillofacial Surgery Ltd (Champaign, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Banghart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Philip Banghart was last updated on November 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.