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DR. JONATHAN C SUDOL DMD
NPI 1033222583
Dentist - Oral and Maxillofacial Surgery in Southwick, MA

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
664 COLLEGE HWY, SOUTHWICK, MA 01077(413) 642-5250(413) 831-6366 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2023, Mar 6, 2020 (2 updates tracked since 2020).

About Dr. Jonathan C Sudol Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN C SUDOL DMD (NPI 1033222583) is an individual oral and maxillofacial surgery provider in Southwick, Massachusetts, licensed in Massachusetts (20461) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Temple University School Of Medicine (1998).

NPPES Registry Identity

NPI1033222583
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JONATHAN C SUDOLCredential: DMD
Location Address664 COLLEGE HWYSouthwick, MA 01077-9260
Mailing Address664 College HwySouthwick, MA 01077-9260 · (413) 642-5250 · Fax (413) 831-6366
Phone(413) 642-5250
Fax(413) 831-6366
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1998
Enumeration DateAugust 17, 2006
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1033222583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MA · 20461✔ Licensed in NH · 3265
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
664 COLLEGE HWY, Southwick, MA 01077
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan C Sudol Dmd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365453818
PECOS Enrollment IDI20060511000274
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
48 services48 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01077 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAMPDEN COUNTY ORAL SURGERY PLLC
Clinic/Center (Dental)
664 COLLEGE HWY
SOUTHWICK, MA 01077
Hampden County (413) 642-5250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Sudol's NPI number?

The NPI number for Jonathan Sudol is 1033222583. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Jonathan Sudol located?

Jonathan Sudol practices at 664 College Hwy, Southwick, MA 01077. The listed phone number is (413) 642-5250.

What is Jonathan Sudol's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jonathan Sudol enrolled in Medicare?

Yes. Jonathan Sudol is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jonathan Sudol accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jonathan Sudol as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jonathan Sudol affiliated with any hospitals?

According to CMS data, Jonathan Sudol is affiliated with Mercy Medical Ctr.

When was this NPI record last updated?

The NPPES record for Jonathan Sudol was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.