DR. MARK GAPONIUK D.M.D
NPI 1003012212
Dentist in Vero Beach, FL

NPI Status: Active since June 25, 2007

Contact Information

1545 9TH ST SW
VERO BEACH, FL
ZIP 32962
Phone: (772) 257-8224
Fax: (772) 213-3157

Get Directions Reviews

  • Individual
  • Male
  • Dentist
  • PECOS Enrolled

About MARK GAPONIUK

Mark Gaponiuk is a provider established in Vero Beach, Florida and his medical specialization is Dentist. The healthcare provider is registered in the NPI registry with number 1003012212 assigned on June 2007. The practitioner's primary taxonomy code is 122300000X with license number DN22364 (FL). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1003012212
Provider Name
DR. MARK GAPONIUK D.M.D
Gender
Male
Entity Type
Individual
Location Address
1545 9TH ST SW VERO BEACH, FL 32962
Location Phone
(772) 257-8224
Location Fax
(772) 213-3157
Mailing Address
1545 9TH ST SW VERO BEACH, FL 32962
Mailing Phone
(772) 257-8224
Mailing Fax
(772) 213-3157
Is Sole Proprietor?
No
Enumeration Date
06-25-2007
Last Update Date
02-21-2017
Code Navigator

A dentist like Mark Gaponiuk is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
DN22364
License State
FL
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

DS031205L (PA)

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DN22364OTHER (01)FLSTATE LICENSE

PECOS Enrollment and Medicare Participation Status

Mark Gaponiuk is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 32962 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.64
  • Minimum New Patient Price $61.36
  • Maximum New Patient Price $187
  • Average New Patient Copayment $23.66
  • Minimum New Patient Copayment $15.34
  • Maximum New Patient Copayment $46.75

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $76.4
  • Minimum Established Patient Price $18.68
  • Maximum Established Patient Price $151.65
  • Average Established Patient Copayment $19.1
  • Minimum Established Patient Copayment $4.67
  • Maximum Established Patient Copayment $37.91

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. MARK GAPONIUK D.M.D

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003012212
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301422
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 2 + 2 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003012212 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407122252DR. EMMANUEL ACHEAMPONG D.M.D
Individual
Dentist (Pediatric Dentistry)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1538179528DR. NEIL LAWRENCE KRONICK DDS
Individual
Dentist (General Practice)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1902959414DR. RICHARD THOMAS CARLIN D.M.D.
Individual
Dentist (Oral and Maxillofacial Surgery)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1245384619 GERALD GEORGE GOEBEL D.M.D.
Individual
Dentist (Prosthodontics)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1851437354DR. JOHN M. KESTRANEK DDS
Individual
Dentist1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1508047143MS. LISA NELSON WHEELER ARNP
Individual
Nurse Practitioner (Family)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1053386284DR. HEMANT P GUNDAVDA M.D.
Individual
Pediatrics1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1356413728 JULIETTE ADELINA VALERIANO MD
Individual
Family Medicine1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1841237260DR. YADIRA PADIN-ROJAS MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1891193298 RUTH KIM MD, MPH
Individual
Pediatrics1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1053361113 WILLIAM DAVID CALDWELL MD
Individual
Pediatrics1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1215588694 THERESE DOOLIN MCKINLEY APRN
Individual
Nurse Practitioner (Family)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1194992669 AMY FODOR LCSW
Individual
Counselor (Mental Health)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1518301084 JENNIFER LAUREN MILLER M.D.
Individual
Pediatrics1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1164873428 MELANIE BUCHANAN D.M.D.
Individual
Dentist (General Practice)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1194030965MS. TARA CIABATTARI LCSW
Individual
Counselor (Mental Health)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1538414073DR. CHRISTINE A MARIJANOVIC D.D.S.
Individual
Dentist (General Practice)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1679949945 NATALIE AVILA SANON APRN
Individual
Nurse Practitioner (Family)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1053619858DR. MARLENE ANN MARIE AKING M.D.
Individual
Psychiatry & Neurology (Psychiatry)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224
1164084927 ADIL OMAR DMD
Individual
Dentist (General Practice)1545 9TH ST SW
VERO BEACH, FL 32962
(772) 257-8224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012212, enumerated in the NPI registry as an "individual" on June 25, 2007

The provider is located at 1545 9th St Sw Vero Beach, Fl 32962 and the phone number is (772) 257-8224

The provider's speciality is Dentist with taxonomy code 122300000X

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $94.64 with an average copayment of $23.66 for new patient appointments. Established patients should expect a typical charge of $76.4 and an average copayment of 19.1. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.