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DR. ADAM JOHN MCKISSOCK DMD
NPI 1073561213
Dentist - Endodontics in Colorado Springs, CO

Active since May 04, 2006PECOS Enrolled
1720 JET STREAM DR STE 110, COLORADO SPRINGS, CO 80921(719) 488-2188(719) 488-2188 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2022, Jul 12, 2016 (2 updates tracked since 2016).

About Dr. Adam John Mckissock Dmd NPPES

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

DR. ADAM JOHN MCKISSOCK DMD (NPI 1073561213) is an individual endodontics provider in Colorado Springs, Colorado, licensed in Colorado (9878) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073561213
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. ADAM JOHN MCKISSOCKCredential: DMD
Location Address1720 JET STREAM DR STE 110Colorado Springs, CO 80921-3938
Mailing Address1720 Jet Stream Dr Ste 110Colorado Springs, CO 80921-3938 · (719) 488-2188 · Fax (719) 488-2188
Phone(719) 488-2188
Fax(719) 488-2188
Sole ProprietorYes
Enumeration DateMay 4, 2006
Last NPPES UpdateMay 16, 20222 updates tracked since enumeration
NPPES CertifiedMay 14, 2022
✔ NPI 1073561213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in CO · 9878✔ Licensed in FL · DN 16025
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1720 JET STREAM DR STE 110, Colorado Springs, CO 80921
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Other Names 1

Professional Name (2)Dr. John Mckissock Dmd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Adam John Mckissock Dmd 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 80921 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 3

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

ELEVATION ENDODONTICS, PLLC
Clinic/Center (Dental)
1720 JET STREAM DR STE 110
COLORADO SPRINGS, CO 80921
El Paso County (719) 488-2188
DR. DANIEL DOUGLAS KERSTEN DDS
Dentist (Endodontics)
1720 JET STREAM DR STE 110
COLORADO SPRINGS, CO 80921
El Paso County (719) 488-2188
CAMAN INC
Dentist (General Practice)
1720 JET STREAM DR STE 110
COLORADO SPRINGS, CO 80921
El Paso County (719) 481-8373

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 Adam Mckissock's NPI number?

The NPI number for Adam Mckissock is 1073561213. It was assigned to this individual provider in the NPPES registry on May 4, 2006. The provider is also known as Dr. John Mckissock Dmd.

Where is Adam Mckissock located?

Adam Mckissock practices at 1720 Jet Stream Dr Ste 110, Colorado Springs, CO 80921. The listed phone number is (719) 488-2188.

What is Adam Mckissock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Adam Mckissock enrolled in Medicare?

Yes. Adam Mckissock is registered in the Medicare PECOS enrollment system.

What insurance does Adam Mckissock accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Adam Mckissock 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 Adam Mckissock was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.