Thomas Pedavoli, DDS
General Practice Dentistry · South Bend, IN
Thomas Pedavoli, DDS is a general practice dentistry with a practice address in South Bend, Indiana, and NPI 1134148349, issued on Jul 19, 2006. Check the license (Indiana 12008862, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Thomas Pedavoli
- Credential
- DDS
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- 12008862 IN
Self-reported in NPPES; status is on the state search - Practice location
- 1005 E Lasalle Ave, South Bend, IN 46617
- Phone
- (574) 245-7503
- Enumerated
- Jul 19, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (574) 245-7502
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 2,066 in Indiana → Look up another NPI →
Also registered at 1005 E Lasalle Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Theresa Alexander, DDSGeneral Practice Dentistry1588683791
- Robert Austgen, DDSPediatric Dentistry1033138482
- Douglas Barton, DDSPediatric Dentistry1831118280
- Matthew Bernard, DMDPediatric Dentistry1902395668
- Joseph Cellini, DMDDentist1578123360
- Richard Cohen, DDSPediatric Dentistry1003835489
Verify Thomas Pedavoli in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 12008862Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.5 times the Medicare Part D claims of the average general practice dentistry in 2024
210 Medicare Part D claims for 153 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Most prescribed
- Amoxicillin147 claims
- Clindamycin Hcl29 claims
- Penicillin V Potassium15 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $1,796.80
6 payments; by number, the most common kind was gift; the largest payer was A-dec, Inc. The 41,669 providers of this specialty with any payment received $597.01 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Thomas Pedavoli among 2,066 general practice dentistry records in Indiana
Thomas Pedavoli, DDS is one of 2,066 general practice dentistry records with a practice address in Indiana. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 61% newer
- In a Medicare fileYes · 65% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2007 · 75% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
47 general practice dentistry records list a practice address in South Bend
They are 47 of the 3,178 NPPES records with a practice address in South Bend, and 2,066 general practice dentistry records in Indiana.
All 2,066 in Indiana → Every provider in South Bend → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- Theresa Alexander, DDSSouth Bend, IN 466171588683791
- Mark Bantz, DDSSouth Bend, IN 466171699919183
- Thomas Closurdo, D.D.S.South Bend, IN 466171649617903
- Christopher Conroy, DDSSouth Bend, IN 466171437834413
- James Douglas, D.D.S.South Bend, IN 466171619144672
- Paul Glass, D.D.S.South Bend, IN 466171396756532
- Paul Goldwin, DDSSouth Bend, IN 466171710078357
- Cynthia LindborgSouth Bend, IN 466171619004405
Common questions
What is Thomas Pedavoli, DDS's NPI number?
Thomas Pedavoli, DDS's National Provider Identifier (NPI) is 1134148349, issued on Jul 19, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Thomas Pedavoli, DDS located?
The NPPES record lists a practice address at 1005 E Lasalle Ave, South Bend, IN, 46617. Phone: (574) 245-7503. Providers update this record themselves, so call before visiting.
How can I verify Thomas Pedavoli, DDS's license?
NPPES lists Indiana license number 12008862, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
How much does Thomas Pedavoli, DDS prescribe under Medicare Part D?
In 2024, Thomas Pedavoli, DDS had 210 Medicare Part D claims for 153 beneficiaries; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.