Deactivated NPI 1710969910 Deactivated / Inactive NPI Male Practitioner

Dr. Evan M Dentes , MD

Surgery • Liverpool, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Evan Dentes has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 15, 2005

NPI Deactivation Date February 14, 2024

Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Evan Dentes, MD was a registered Surgery practicing in Liverpool, NY. Throughout an active medical career spanning 19 years, Dr. Dentes provided care at the practice location at 5100 W TAFT RD until profile deactivation on 2024-02-14.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, removal of gallbladder using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5100 W Taft Rd
2q

Liverpool, NY 130883807

Telephone 3154577290

Associated Practice Facility / Clinic

🏢 Central New York Pet Llc Facility NPI 1174515712

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Liverpool, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.1 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

16 Specialists

Practicing in Liverpool, NY (2269 Statewide)

Telehealth Adoption Rate

18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	27	$110.00	$53.55
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$143.00	$68.15
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$179.00	$86.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$177.87	$85.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$108.31	$54.90
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$143.26	$67.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$204.27	$108.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	34	$88.00	$55.06
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$145.00	$89.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$210.00	$110.08
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$149.00	$71.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$320.00	$162.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	63	63	$149.00	$73.23
99213 Established patient office or other outpatient visit, typically 15 minutes	46	35	$143.38	$71.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	30	$88.00	$43.60
47562 Removal of gallbladder using an endoscope	14	14	$1233.00	$648.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	101	101	$148.94	$71.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	58	$87.95	$42.95
99213 Established patient office or other outpatient visit, typically 15 minutes	61	46	$144.98	$71.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	18	$80.00	$37.99
99238 Hospital discharge day management, 30 minutes or less	14	13	$125.00	$70.53
47562 Removal of gallbladder using an endoscope	13	13	$1233.00	$630.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	33	$79.12	$37.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	48	$75.03	$41.88
99202 New patient office or other outpatient visit, typically 20 minutes	65	65	$128.54	$72.09
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$123.49	$70.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	27	$172.00	$70.57
47562 Removal of gallbladder using an endoscope	16	16	$1311.19	$633.39
99238 Hospital discharge day management, 30 minutes or less	11	11	$130.18	$70.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	101	52	$80.00	$37.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	58	$65.00	$41.45
99202 New patient office or other outpatient visit, typically 20 minutes	62	61	$107.00	$70.47
99213 Established patient office or other outpatient visit, typically 15 minutes	43	40	$105.00	$68.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	34	$200.00	$69.92
47562 Removal of gallbladder using an endoscope	20	20	$1258.00	$597.71

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 131699-1

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Thomas Fallon , DDSPC

Dentist - Oral and Maxillofacial Pathology

NPI 1013009968

Dr. Thomas Feigman , MD

Obstetrics & Gynecology - Gynecology

NPI 1013190321

Doctor of Medicine (M.D.)

Dr. Jody Bleier , MD

Internal Medicine - Cardiovascular Disease

NPI 1023015500

Doctor of Medicine (M.D.)

Dr. Omar Guesmia , DDS

Dentist

NPI 1023105848

Doctor of Dental Surgery

Patricia Szymanowski , ANP

Urology

NPI 1033185251

Adult Nurse Practitioner

Dr. Gary Leavitt , MD

Radiology - Diagnostic Radiology

NPI 1053303040

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated February 14, 2024

Record deactivated on February 14, 2024

✅

NPI Profile Active August 04, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 04, 2011

Registered at 5100 W TAFT RD, 2Q, LIVERPOOL, NY 130883807 (Tel: 3154577290)

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Updated Business Mailing Address August 04, 2011

Registered at 5100 W TAFT RD, 2Q, LIVERPOOL, NY 130883807 (Tel: 3154577290)

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Provider Name / Credentials Updated August 04, 2011

Recorded as EVAN DENTES, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2011

Surgery (License #131699-1 in NY)

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Initial NPI Registration & Enumeration November 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710969910

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 15, 2005

Last Update: August 04, 2011

Deactivation Date: February 14, 2024

Update or Correct Profile

Mailing Address

5100 W Taft Rd, 2q

Liverpool, NY 130883807

Phone: 3154577290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.