DR. THEODORE D RAVENEL V DMD
NPI 1013070879
Dentist - Endodontics in Augusta, GA
NPI Status: Active since December 19, 2006
Contact Information
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA
ZIP 30912
Phone: (706) 721-2371
Fax: (706) 721-6778
- Individual
- Male
- Dentist
- Endodontics
- Accepts Insurance
- PECOS Enrolled
About THEODORE RAVENEL
This page provides the complete NPI Profile along with additional information for Theodore Ravenel, a provider established in Augusta, Georgia with a medical specialization in Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1013070879 assigned on December 2006. The practitioner's primary taxonomy code is 1223E0200X with license number DNF000463 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1013070879
- Provider Name
- DR. THEODORE D RAVENEL V DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1430 JOHN WESLEY GILBERT DRIVE AUGUSTA, GA 30912
- Location Phone
- (706) 721-2371
- Location Fax
- (706) 721-6778
- Mailing Address
- 1430 JOHN WESLEY GILBERT DRIVE AUGUSTA, GA 30912
- Mailing Phone
- (706) 721-2371
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-19-2006
- Last Update Date
- 07-02-2024
- Code Navigator
A dentist like Theodore Ravenel is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Secondary Locations
- 173 Ashley Ave
Charleston, SC 29425
(843) 792-3661
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Endodontics
- Taxonomy Code
- 1223E0200X
- Type
- Dental Providers
- License No.
- DNF000463
- License State
- GA
- Taxonomy Description
- The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223E0200X | Dental Providers | Dentist | 3711 (SC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- BEST Life Superior Dental Plan - PPO
- BEST Essential Basic Dental Plan - PPO
- BEST Life Essentail Basic Dental Plan - PPO
- BEST Life Essentail Value Dental Plan - PPO
- BEST Life Essental Value Dental Plan - PPO
- BEST Life Essential Basic Dental - PPO
- BEST Life Essential Basic Dental Plan - PPO
- BEST Life Essential Basic Dental - PPO
- BEST Life Essential Basic Dental Plan - PPO
- BEST Life Essential Vakue Dental Plan - PPO
- BEST Life Essential Value Dental Plan - PPO
- BEST Life Essential Value Dental - PPO
- BEST Life Essential Value Dental Plan - PPO
- BEST Life Preferred Dental Plan - PPO
- BEST Life Preferred Dental - PPO
- BEST Life Preferred Dental Plan - PPO
- BEST Life Preferred Dental plan - PPO
- BEST Life Superior Dental - PPO
- BEST Life Superior Dental Plan - PPO
- BEST Life Superior Dental Plan - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Paramount Dental Essential Plus Plan - EPO
- Paramount Dental Preventive Family Plan - EPO
- Paramount Dental Total Care Plan - EPO
- HRI Essential Plus Plan - HMO
- HRI Essential Plus Plan - PPO
- HRI Preventive Family Plan - HMO
- HRI Preventive Family Plan - PPO
- HRI Total Care Plan - HMO
- HRI Total Care Plan - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Theodore Ravenel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 30912 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.23
- Minimum New Patient Price $53.31
- Maximum New Patient Price $164.04
- Average New Patient Copayment $20.8
- Minimum New Patient Copayment $13.32
- Maximum New Patient Copayment $41.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.89
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $133.24
- Average Established Patient Copayment $16.72
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 7 | 0 | 8 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 7 | 0 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 7 + 0 + 8 + 1 + 4 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1013070879 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811978927 | DR. ANDREW ROBERT KIOUS D.D.S. Individual | Dentist (General Practice) | 1430 JOHN WESLEY GILBERT DRIVE GHSU COLLEGE OF DENTAL MEDICINE AUGUSTA, GA 30912 (706) 721-0502 |
| 1578533469 | DR. STEVEN ROBERTS DDS Individual | Dentist (Endodontics) | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1427001544 | DR. PATRICK J BASQUILL DDS Individual | Dentist (Periodontics) | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1407809601 | DR. WAYNE WILLIAM HERMAN DDS Individual | Dentist (General Practice) | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1326091166 | DR. WYATT FRANKLIN CAUGHMAN DMD Individual | Dentist | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1316990120 | DR. JOHN W GUINN III DDS Individual | Dentist (Prosthodontics) | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1497709422 | DR. JOHN RODWAY MACKERT DMD Individual | Dentist (General Practice) | 1430 JOHN WESLEY GILBERT DRIVE GG-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1972559722 | DR. PHILIP S BAKER DDS Individual | Dentist (Prosthodontics) | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1255388245 | DR. RICHARD S CALLAN DMD Individual | Dentist | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1194772053 | DR. KEVIN D PLUMMER DDS Individual | Dentist (Prosthodontics) | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1114974573 | DR. CAROLE M HANES DMD Individual | Dentist (Pediatric Dentistry) | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1922046762 | DR. ROBERT J LOUSHINE DDS Individual | Dentist (Endodontics) | 1430 JOHN WESLEY GILBERT DRIVE GG-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1104866466 | DR. MICHAEL L MYERS DMD Individual | Dentist (Prosthodontics) | 1430 JOHN WESLEY GILBERT DRIVE GC 1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1306886056 | DR. JOHN W STOCKSTILL Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1588695415 | DR. LIVINGSTON T SMITH DMD Individual | Dentist (General Practice) | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1386703668 | DR. CHARLENE A CZUSZAK DDS Individual | Dentist (General Practice) | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1194944645 | DR. GERARD JULES CHICHE DDS Individual | Dentist (Prosthodontics) | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
| 1154697522 | ZHENG ZHOU DDS Individual | Student in an Organized Health Care Education/Training Program | 1430 JOHN WESLEY GILBERT DRIVE AUGUSTA, GA 30912 (706) 721-2251 |
| 1144587189 | DR. JACOB NOEL TRUAN D.M.D Individual | Student in an Organized Health Care Education/Training Program | 1430 JOHN WESLEY GILBERT DRIVE AUGUSTA, GA 30912 (706) 721-2371 |
| 1053672022 | JAE SEON KIM DDS Individual | Dentist (Prosthodontics) | 1430 JOHN WESLEY GILBERT DRIVE GC-1024 AUGUSTA, GA 30912 (706) 721-9633 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013070879, enumerated in the NPI registry as an "individual" on December 19, 2006
The provider is located at 1430 John Wesley Gilbert Drive Augusta, Ga 30912 and the phone number is (706) 721-2371
The provider's speciality is Dentist with taxonomy code 1223E0200X with a focus in Endodontics
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Antidote Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $83.23 with an average copayment of $20.8 for new patient appointments. Established patients should expect a typical charge of $66.89 and an average copayment of 16.72. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on December 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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