CAROLYN SUZANNE JOHN DDS
NPI 1083782254
Dentist - Oral and Maxillofacial Surgery in Lake Orion, MI

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
3226 HIDDEN TIMBER DR STE B, LAKE ORION, MI 48359(248) 393-1888(248) 393-1890 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolyn Suzanne John Dds NPPES

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

CAROLYN SUZANNE JOHN DDS (NPI 1083782254) is an individual oral and maxillofacial surgery provider in Lake Orion, Michigan, licensed in Michigan (2901018814) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1083782254
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameCAROLYN SUZANNE JOHNCredential: DDS
Location Address3226 HIDDEN TIMBER DR STE BLake Orion, MI 48359-1598
Mailing Address3226 Hidden Timber Dr Ste BLake Orion, MI 48359-1598 · (248) 393-1888 · Fax (248) 393-1890
Fax(248) 393-1890
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 4, 2006
Last NPPES UpdateMay 13, 2013
✔ NPI 1083782254 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 MI · 2901018814
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.
3226 HIDDEN TIMBER DR STE B, Lake Orion, MI 48359

Other Identifiers 1

Medicare UPINV02462

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn Suzanne John Dds 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 ID2163487455
PECOS Enrollment IDI20041129000554
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.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn John reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oral and Maxillofacial Surgery
3226 HIDDEN TIMBER DR STE B
Lake Orion, MI 48359
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48359 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 (Oral and Maxillofacial Surgery)
3226 HIDDEN TIMBER DR STE B
LAKE ORION, MI 48359

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 Carolyn John's NPI number?

The NPI number for Carolyn John is 1083782254. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Carolyn John located?

Carolyn John practices at 3226 Hidden Timber Dr Ste B, Lake Orion, MI 48359. The listed phone number is (248) 393-1888.

What is Carolyn John's specialty?

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

Is Carolyn John enrolled in Medicare?

Yes. Carolyn John 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.

Which organization bills Medicare for Carolyn John's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn John reassigns Medicare benefits to Seven Oaks Professional, PLLC (Lake Orion, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn John's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn John accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Carolyn John 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 Carolyn John was last updated on May 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.