DR. THOMAS WILLIAM MONAHAN IV
NPI 1992966170
Dentist in Raleigh, NC

Active since June 20, 2008Opted out of Medicare · through Nov 24, 2027
3693 NEW BERN AVE, RALEIGH, NC 27610(919) 231-3251 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas William Monahan Iv NPPES

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

DR. THOMAS WILLIAM MONAHAN IV (NPI 1992966170) is an individual dentist in Raleigh, North Carolina, licensed in North Carolina (8635) and active in the NPI registry since June 2008. He has opted out of Medicare through November 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992966170
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. THOMAS WILLIAM MONAHAN IV
Location Address3693 NEW BERN AVERaleigh, NC 27610-1232
Mailing Address101 Friar LnCarrboro, NC 27510-2477
Sole ProprietorYes
Enumeration DateJune 20, 2008
NPI 1992966170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NC · 8635
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.
3693 NEW BERN AVE, Raleigh, NC 27610

Accepted Insurance

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. Thomas William Monahan Iv 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 November 24, 2015 through November 24, 2027.

Opt-Out Effective DateNovember 24, 2015
Opt-Out In Effect ThroughNovember 24, 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 27610 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

Dentist (General Practice)
3693 NEW BERN AVE
RALEIGH, NC 27610
Dentist (General Practice)
3693 NEW BERN AVE
RALEIGH, NC 27610
Dentist
3693 NEW BERN AVE
RALEIGH, NC 27610
Dentist
3693 NEW BERN AVE
RALEIGH, NC 27610

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 Thomas Monahan's NPI number?

The NPI number for Thomas Monahan is 1992966170. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Thomas Monahan located?

Thomas Monahan practices at 3693 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 231-3251.

What is Thomas Monahan's specialty?

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

Is Thomas Monahan enrolled in Medicare?

No. Thomas Monahan has opted out of Medicare through November 24, 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.

What insurance does Thomas Monahan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Thomas Monahan 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 Thomas Monahan was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.