Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. W ROGER LONG
NPI 1063410462
Dentist - General Practice in Fort Pierce, FL

Active since July 09, 2005PECOS Enrolled
1511 S 25TH ST, SUITE A, FORT PIERCE, FL 34947(772) 464-2943(772) 464-8801 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. W Roger Long NPPES

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

DR. W ROGER LONG (NPI 1063410462) is an individual general practice provider in Fort Pierce, Florida, licensed in Florida (DN0009663) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063410462
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. W ROGER LONG
Location Address1511 S 25TH ST, SUITE AFort Pierce, FL 34947-4779
Mailing Address1511 S 25th St, Suite AFort Pierce, FL 34947-4779 · (772) 464-2943 · Fax (772) 464-8801
Fax(772) 464-8801
Sole ProprietorNo
Enumeration DateJuly 9, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1063410462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN0009663
Definition
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.
1511 S 25TH ST, Fort Pierce, FL 34947

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. W Roger Long is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34947 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Dentist (General Practice)
1511 S 25TH ST
FORT PIERCE, FL 34947

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 W Long's NPI number?

The NPI number for W Long is 1063410462. It was assigned to this individual provider in the NPPES registry on July 9, 2005.

Where is W Long located?

W Long practices at 1511 S 25th St Suite A, Fort Pierce, FL 34947. The listed phone number is (772) 464-2943.

What is W Long's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is W Long enrolled in Medicare?

Yes. W Long is registered in the Medicare PECOS enrollment system.

What insurance does W Long accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list W Long 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.

When was this NPI record last updated?

The NPPES record for W Long was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.