DR. JOHN MAX CRESTETTO DDS,MD
NPI 1063597375
Dentist - Oral and Maxillofacial Surgery in Rocky Mount, NC

Active since October 26, 2006Opted out of Medicare · through Mar 1, 2027
901 N WINSTEAD AVE, SUITE 130, ROCKY MOUNT, NC 27804(252) 443-7331(252) 937-2381 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Max Crestetto Dds,md NPPES

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

DR. JOHN MAX CRESTETTO DDS,MD (NPI 1063597375) is an individual oral and maxillofacial surgery provider in Rocky Mount, North Carolina, licensed in North Carolina (6759) and active in the NPI registry since October 2006. He has opted out of Medicare through March 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063597375
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN MAX CRESTETTOCredential: DDS,MD
Location Address901 N WINSTEAD AVE, SUITE 130Rocky Mount, NC 27804-8467
Mailing Address901 N Winstead Ave, Suite 130Rocky Mount, NC 27804-8467 · (252) 443-7331 · Fax (252) 937-2381
Fax(252) 937-2381
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateFebruary 20, 2012
NPI 1063597375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NC · 6759
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.

901 N WINSTEAD AVE, Rocky Mount, NC 27804

Other Identifiers 4

Medicare ID-Type Unspecified2470371NC
Medicaid0102XNC
Medicare UPINU66515NC
Medicaid8990023NC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. John Max Crestetto Dds,md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2017 through March 1, 2027.

Opt-Out Effective DateMarch 1, 2017
Opt-Out In Effect ThroughMarch 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27804 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

Pharmacist
901 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Dentist (General Practice)
901 N WINSTEAD AVE, SUITE 110
ROCKY MOUNT, NC 27804
Internal Medicine
901 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Nurse Practitioner (Acute Care)
901 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Physician Assistant
901 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Optometrist
901 N WINSTEAD AVE, SUITE 190
ROCKY MOUNT, NC 27804
Pharmacist
901 N WINSTEAD AVE, STE 100
ROCKY MOUNT, NC 27804
Internal Medicine (Gastroenterology)
901 N WINSTEAD AVE
ROCKY MOUNT, NC 27804

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 John Crestetto's NPI number?

The NPI number for John Crestetto is 1063597375. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is John Crestetto located?

John Crestetto practices at 901 N Winstead Ave Suite 130, Rocky Mount, NC 27804. The listed phone number is (252) 443-7331.

What is John Crestetto's specialty?

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

Is John Crestetto enrolled in Medicare?

No. John Crestetto has opted out of Medicare through March 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does John Crestetto accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list John Crestetto 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 John Crestetto was last updated on February 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.