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Scott P. Fogel DDS PC

NPI 1750494142ActiveOrganization· Dentist, General Practice· Bourbonnais, IL

Opted out of Medicare from October 2015 to October 2027. Dentist, General Practice in Bourbonnais, Illinois, registered in NPPES in August 2006, part of Scott P. Fogel DDS PC. The authorized official on file is Scott P. Fogel, DDS, Owner.

Overview

NPI1750494142
StatusActive
Entity typeOrganization (subpart)
Parent organizationScott P. Fogel DDS PC
NPI issuedAug 17, 2006
Last updated in NPPESNov 26, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X019026391IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Oct 18, 2015 – Oct 18, 2027
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

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