LAWRENCE M LEVIN (DMD) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1104855634

LAWRENCE M LEVIN (DMD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Oral & Maxillofacial Surgery (D.M.D.). They hold the professional credentials DMD. They hold a License No. MD421768 (PA). The NPI Number for LAWRENCE M LEVIN (DMD) is 1104855634

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
LAWRENCE M LEVIN (DMD)
NPI
1104855634
Phone
(215) 662-3580
Address
3400 SPRUCE ST
Enumeration Date
30 June 2006
Last Update Date
3 September 2015

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
2674259538
Graduation Year
1989 (37 years ago)
PAC ID
3971585027
Group Practice PAC ID
9739083494
Professional Enrollment ID
I20040603000181
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for LAWRENCE M LEVIN (DMD)

  • Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    5 WHITE BUILDING

    PHILADELPHIA, PA 191044206

    Phone: (215) 662-3580

    Fax: (215) 662-7445

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-11-13 • Largest payer in this snapshot: BIOLASE, INC. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
BIOLASE, INC.$27
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040603000181IMaxillofacial SurgeryPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739083494View full group profile
NameSpecialtyState
Orthopedic SurgeryPA
-PA
Orthopedic SurgeryPA
Sports MedicinePA
General SurgeryPA
O P H T H A L M O L O G YNJ
General SurgeryPA
Nurse PractitionerPA
Thoracic SurgeryPA
-PA

Reviews

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Frequently asked questions

Where can patients find LAWRENCE M LEVIN (DMD)'s NPI?
You can confirm LAWRENCE M LEVIN (DMD) with NPI 1104855634; it appears in the national provider directory.
Does this profile mean LAWRENCE M LEVIN (DMD) is currently active?
Yes — LAWRENCE M LEVIN (DMD) appears active in the national provider directory.
Does LAWRENCE M LEVIN (DMD) list a primary specialty?
If you are matching referrals, note Oral & Maxillofacial Surgery (D.M.D.) for LAWRENCE M LEVIN (DMD). Clinical services aligned with this taxonomy classification.
Where is LAWRENCE M LEVIN (DMD)'s primary listing?
We display Philadelphia, Pennsylvania because that is what the record indicates for LAWRENCE M LEVIN (DMD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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