DR. DANIEL LEVY BERCOWSKI (DDS, MS, MSD) – Orthodontics and Dentofacial Orthopedics Dentistry, NPI 1609882802
Orthodontics and Dentofacial Orthopedics Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. DANIEL LEVY BERCOWSKI (DDS, MS, MSD)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 309121001
Phone: (706) 721-2421
Fax: (706) 721-6778
Type: Location
1430 JOHN WESLEY GILBERT DRIVE GC-1012
AUGUSTA, GA 309120001
Phone: (706) 721-7913
Fax: (706) 721-6778
Type: Mailing
3475 ERWIN RD
DURHAM, NC 277050005
Phone: (919) 681-8555
Fax: (199) 681-8704
Type: Mailing
Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States
GC-1024
AUGUSTA, GA 309120004
Phone: (706) 721-9633
Fax: (706) 723-0266
Type: Mailing
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 $132.
Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Davol Inc. ($132).
Total Amount
$132
General + Research + Ownership
Payments
1
Total payment records
General Amount
$132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $132 |
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: 2024-03-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240311000496 | I | Dentist | NC | TBD |
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.
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 30912)
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Reviews
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