FREDERICK P WALDSCHMIDT D.D.S.
NPI 1114225141
Dentist - General Practice in Bourbonnais, IL

NPI Status: Active since February 28, 2011

Contact Information

750 ALMAR PKWY
SUITE 101
BOURBONNAIS, IL
ZIP 60914
Phone: (815) 932-5221
Fax: (815) 932-5269

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  • Individual
  • Male
  • Dentist
  • General Practice
  • Accepts Insurance
  • PECOS Enrolled

About FREDERICK WALDSCHMIDT

This page provides the complete NPI Profile along with additional information for Frederick Waldschmidt, a provider established in Bourbonnais, Illinois with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1114225141 assigned on February 2011. The practitioner's primary taxonomy code is 1223G0001X with license number 019-019355 (IL). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1114225141
Provider Name
FREDERICK P WALDSCHMIDT D.D.S.
Gender
Male
Entity Type
Individual
Location Address
750 ALMAR PKWY SUITE 101 BOURBONNAIS, IL 60914
Location Phone
(815) 932-5221
Location Fax
(815) 932-5269
Mailing Address
750 ALMAR PKWY SUITE 101 BOURBONNAIS, IL 60914
Mailing Phone
(815) 932-5221
Mailing Fax
(815) 932-5269
Is Sole Proprietor?
Yes
Enumeration Date
02-28-2011
Last Update Date
04-21-2015
Code Navigator

A dentist like Frederick Waldschmidt 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

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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
019-019355
License State
IL
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • 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

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Frederick Waldschmidt 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 60914 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.71
  • Minimum New Patient Price $54.8
  • Maximum New Patient Price $168.44
  • Average New Patient Copayment $21.42
  • Minimum New Patient Copayment $13.7
  • Maximum New Patient Copayment $42.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.64
  • Minimum Established Patient Price $17.16
  • Maximum Established Patient Price $136.56
  • Average Established Patient Copayment $17.16
  • Minimum Established Patient Copayment $4.29
  • Maximum Established Patient Copayment $34.14

* 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.

Reviews for FREDERICK P WALDSCHMIDT D.D.S.

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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.
1114225141
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124421018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 4 + 2 + 1 + 0 + 1 + 8 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1114225141 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659435253 KIIRI TAMM TIETJENS DDS
Individual
Dentist (Oral and Maxillofacial Surgery)750 ALMAR PKWY SUITE 102
BOURBONNAIS, IL 60914
(815) 939-7136
1225192826DR. JAMES MATTHEW ADAMS DDS
Individual
Dentist (Oral and Maxillofacial Surgery)750 ALMAR PKWY SUITE 102
BOURBONNAIS, IL 60914
(815) 939-7136
1891843637DRS. SLABY, ADAMS AND TIETJENS, LTD.
Organization
Dentist (Oral and Maxillofacial Surgery)750 ALMAR PKWY SUITE 102
BOURBONNAIS, IL 60914
(815) 939-7136
1821146671 EDWARD IRWIN SLABY DDS
Individual
Dentist (Oral and Maxillofacial Surgery)750 ALMAR PKWY SUITE 102
BOURBONNAIS, IL 60914
(815) 939-7136
1659586477MR. MENSA KAMAUGOGO MUATA RSA
Individual
750 ALMAR PKWY SUITE 205
BOURBONNAIS, IL 60914
(815) 933-3955
1407061294MR. JAMES ROBERT CONERTY III RSA
Individual
750 ALMAR PKWY SUITE 205
BOURBONNAIS, IL 60914
(815) 933-3955
1689889412MR. MICHAEL ALBERT PANOZZO RFA
Individual
750 ALMAR PKWY SUITE 205
BOURBONNAIS, IL 60914
(815) 933-3955
1659569630MRS. LAURA E. DEYOUNG LCPC
Individual
Counselor (Professional)750 ALMAR PKWY
BOURBONNAIS, IL 60914
(815) 768-6545
1043490733MR. JUSTIN MICHAEL STEULLET
Individual
750 ALMAR PKWY SUITE 205
BOURBONNAIS, IL 60914
(815) 933-3955
1275973406NATURAL HEALTH REMEDIES, LLC
Organization
In Home Supportive Care750 ALMAR PKWY SUITE 200
BOURBONNAIS, IL 60914
(815) 401-5527
1912378944JON DODDS PHD LCPC LTD
Organization
Counselor750 ALMAR PKWY SUITE 202
BOURBONNAIS, IL 60914
(815) 935-5053
1649649575MS. MARGARET M. BRENT L.C.P.C.
Individual
Counselor (Professional)750 ALMAR PKWY STE 205
BOURBONNAIS, IL 60914
(815) 507-6300
1972953099AMY WILEY MA LCPC P.C.
Organization
Counselor (Professional)750 ALMAR PKWY SUITE 205
BOURBONNAIS, IL 60914
(815) 939-4806
1780120584MEGAN J. CAMPBELL, ART THERAPY INC.
Organization
Counselor (Mental Health)750 ALMAR PKWY SUITE 205
BOURBONNAIS, IL 60914
(815) 214-9754
1194885137UNITED SURGICAL ASSISTANTS, INC
Organization
Specialist/Technologist, Other (Surgical Technologist)750 ALMAR PKWY SUITE 205
BOURBONNAIS, IL 60914
(815) 933-3955

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114225141, enumerated in the NPI registry as an "individual" on February 28, 2011

The provider is located at 750 Almar Pkwy Suite 101 Bourbonnais, Il 60914 and the phone number is (815) 932-5221

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. 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 $85.71 with an average copayment of $21.42 for new patient appointments. Established patients should expect a typical charge of $68.64 and an average copayment of 17.16. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on February 28, 2011. 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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