MARY ANN CAMPBELL DDS
NPI 1972507572
Dentist - Endodontics in La Crosse, WI
NPI Status: Active since June 10, 2005
- Individual
- Female
- Dentist
- Endodontics
- Accepts Insurance
- PECOS Enrolled
About MARY CAMPBELL
This page provides the complete NPI Profile along with additional information for Mary Campbell, a provider established in La Crosse, Wisconsin with a medical specialization in Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1972507572 assigned on June 2005. The practitioner's primary taxonomy code is 1223E0200X with license number 3855 (WI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1972507572
- Provider Name
- MARY ANN CAMPBELL DDS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1836 SOUTH AVE LA CROSSE, WI 54601
- Location Phone
- (608) 782-7300
- Mailing Address
- 1836 SOUTH AVE LA CROSSE, WI 54601
- Mailing Phone
- (608) 782-7300
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-10-2005
- Last Update Date
- 08-04-2016
- Code Navigator
A dentist like Mary Campbell 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 Endodontics
- Taxonomy Code
- 1223E0200X
- Type
- Dental Providers
- License No.
- 3855
- License State
- WI
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- 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 Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- Delta Dental Individual and Family High Plan - PPO
- Delta Dental Individual and Family Low Plan - PPO
- Delta Dental Individual and Family Low Plan Major - PPO
- Delta Dental PPO Plus Premier Family Plan High Option - PPO
- Delta Dental PPO Plus Premier Family Plan Low Option - PPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0386 | MEDICARE PIN (08) | WI | |
| 33734200 | MEDICAID (05) | WI | |
| U61042 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Mary Campbell 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 54601 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* 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 | 9 | 7 | 2 | 5 | 0 | 7 | 5 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 10 | 0 | 14 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 0 + 0 + 1 + 4 + 5 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1972507572 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1992708762 | MICHAEL H MADER MD Individual | Obstetrics & Gynecology | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1114920709 | RICHARD J MARCHIANDO DO Individual | Orthopaedic Surgery | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1831192111 | JACQUELINE A ADSIT APNP Individual | Nurse Practitioner | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1730182080 | RENUKA R AILIANI MD Individual | Obstetrics & Gynecology | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1689676900 | DAVID G MUSGJERD MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1780686097 | MARY E NELSON MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1356343636 | JUDSON F OMANS MD Individual | Emergency Medicine (Emergency Medical Services) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1700888922 | ARNOLD A ASP MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1235131517 | DAVID D NORENBERG MD Individual | Internal Medicine | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1477555605 | NELLEEN G NOACK MD Individual | Pediatrics (Neurodevelopmental Disabilities) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1922000199 | ROBERT R BABLITCH MSW Individual | Social Worker (Clinical) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1386646446 | LEAH A REIMANN MD Individual | Pediatrics | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1033111091 | CAMERON F ROBERTS MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1093717050 | RICHARD H REYNERTSON MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1922002914 | MARLENE A BANNEN PHD Individual | Psychologist (Cognitive & Behavioral) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1932103900 | P MICHAEL BANASIK DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1568466407 | SUE A BEIER-HANRATTY MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1962406710 | THOMAS R TERHORST MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1497759245 | JAMES W TERMAN MD Individual | Internal Medicine | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1124022926 | HUMBERT G SULLIVAN MD Individual | Neurological Surgery | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972507572, enumerated in the NPI registry as an "individual" on June 10, 2005
The provider is located at 1836 South Ave La Crosse, Wi 54601 and the phone number is (608) 782-7300
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, Aspirus 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 $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 10, 2005. 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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