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Dr. Andre Moran-Corpeno , DDS

Dentist - General Practice β€’ Baltimore, MD

Active NPI 1316434640 Individual Practitioner Male Practitioner
Practice location in NPPES

650 W Baltimore St
Baltimore, MD 212011510

Call 4107062940 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

650 W Baltimore St

Baltimore, MD 212011510

Telephone 4107062940
Organization at the Same NPPES Address or Phone
U M Fdsp Associates Pa Facility NPI 1104909449

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Rockville, MD. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

25 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$69 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Moran-Corpeno has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Moran-Corpeno as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Baltimore and Maryland

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Dentist - General Practice in Baltimore, MD (2024, 111 clinicians with data). Median for this group: 38. Middle half: 18 to 81.

Fewer Part D prescriptions than 60% of clinicians listed under Dentist - General Practice in Maryland (2024, 1,063 clinicians with data). Median for this group: 37. Middle half: 19 to 76.

Part D drug cost

A lower Part D drug cost than 70% of clinicians listed under Dentist - General Practice in Baltimore, MD (2024, 111 clinicians with data). Median for this group: $147. Middle half: $64 to $336.

A lower Part D drug cost than 70% of clinicians listed under Dentist - General Practice in Maryland (2024, 1,063 clinicians with data). Median for this group: $123. Middle half: $63 to $290.

297 active clinicians are listed under Dentist - General Practice with a practice address in Baltimore, MD (2,408 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Baltimore

0% of these 297 clinicians have the CMS telehealth indicator.

0.3% of these 297 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 14 79 $29.14 β€”
Chlorhexidine Gluconate Chlorhexidine Gluconate 11 178 $39.72 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MD 18637

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20210807000033

Enrollment State Jurisdiction

MD

PECOS Control ID

7719381136

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

9630 Gudelsky Dr

Rockville, MD 208503481

Phone: 4107062940

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1699103259

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
🏒
Secondary Practice Location Registered June 24, 2025

Additional practice office at 9630 Gudelsky Dr, Rockville, MD 208503481

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2025

Dentist (license number reported to NPPES: MD 18637)

πŸ“
Updated Practice Location December 10, 2021

Registered at 650 W BALTIMORE ST, BALTIMORE, MD 212011510 (Tel: 4107062940)

πŸ“
Updated Business Mailing Address December 10, 2021

Registered at 650 W BALTIMORE ST, BALTIMORE, MD 212011510 (Tel: 4107062940)

πŸ“
Updated Practice Location July 22, 2021

Registered at 316 RAILROAD AVE, GOLDSBORO, MD 216361126 (Tel: 4104822224)

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Updated Business Mailing Address July 22, 2021

Registered at 316 RAILROAD AVE, GOLDSBORO, MD 216361126 (Tel: 4104822224)

πŸ“
Updated Practice Location July 28, 2019

Registered at 650 W BALTIMORE ST, BALTIMORE, MD 212011510 (Tel: 4107062940)

πŸ“
Updated Business Mailing Address July 28, 2019

Registered at 650 W BALTIMORE ST, BALTIMORE, MD 212011510 (Tel: 4107062940)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2019

Dentist (license number reported to NPPES: MD LL830)

πŸ“
Updated Practice Location October 17, 2018

Registered at 4863 PULASKI HWY STE 200, PERRYVILLE, MD 219031624 (Tel: 4107064900)

βœ…
NPI Profile Active April 23, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 23, 2018

Registered at 14102 SULLYFIELD CIR STE 500, CHANTILLY, VA 201511673 (Tel: 7033784004)

πŸ“
Business Mailing Address (Initial Record) April 23, 2018

Registered at 4863 PULASKI HWY SUITE 200, PERRYVILLE, VA 20193 (Tel: 4107064900)

πŸ‘€
Provider Name / Credentials (Initial Record) April 23, 2018

Recorded as ANDRE MORAN-CORPENO, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2018

Dentist (license number reported to NPPES: ZZ 4543)

🟒
Initial NPI Registration & Enumeration April 23, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316434640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2018
Last Update: June 24, 2025
Sole Proprietor: No

Other Dentist - General Practices in Baltimore

All Dentist - General Practices in Baltimore

Mailing Address

650 W Baltimore St

Baltimore, MD 212011510

Phone: 4107062940

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.