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JESSE LEMOINE DDS
NPI 1104207299
Dentist - Periodontics in Jacksonville, FL

Active since June 15, 2015PECOS Enrolled
2797 SAINT JOHNS BLUFF RD S, JACKSONVILLE, FL 32246(904) 641-3777 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2024, May 12, 2024, May 2, 2023 (3 updates tracked since 2023).

About Jesse Lemoine Dds NPPES

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

JESSE LEMOINE DDS (NPI 1104207299) is an individual periodontics provider in Jacksonville, Florida, licensed in Florida (DN23717) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Marlborough.

NPPES Registry Identity

NPI1104207299
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameJESSE LEMOINECredential: DDS
Location Address2797 SAINT JOHNS BLUFF RD SJacksonville, FL 32246-3703
Mailing Address200 Riverside Ave Unit 537Jacksonville, FL 32202-4986 · (508) 315-2206
Phone(904) 641-3777
Sole ProprietorNo
Enumeration DateJune 15, 2015
Last NPPES UpdateAugust 27, 20243 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1104207299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in FL · DN23717✔ Licensed in MA · DN1858014✔ Licensed in NH · 04820✔ Licensed in TX · 34457
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2797 SAINT JOHNS BLUFF RD S, Jacksonville, FL 32246
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Secondary Practice Location 1

Location 1530 Boston Post Rd E Ste DMarlborough, MA 01752-3645 · Phone (508) 481-8094

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Jesse Lemoine Dds 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 32246 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

LUIZ THIAGO PEREIRA DE CARVALHO DDS
Dentist
2797 SAINT JOHNS BLUFF RD S
JACKSONVILLE, FL 32246
Duval County (904) 966-4560
SAGE DENTAL OF JACKSONVILLE MIDTOWN PLLC
Dentist
2797 SAINT JOHNS BLUFF RD S
JACKSONVILLE, FL 32246
Duval County (561) 999-9650
HOLLY HYUNJUNG PARK-NAH DDS
Dentist (Endodontics)
2797 SAINT JOHNS BLUFF RD S
JACKSONVILLE, FL 32246
Duval County (904) 966-4560

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 Jesse Lemoine's NPI number?

The NPI number for Jesse Lemoine is 1104207299. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Jesse Lemoine located?

Jesse Lemoine practices at 2797 Saint Johns Bluff Rd S, Jacksonville, FL 32246. The listed phone number is (904) 641-3777.

What is Jesse Lemoine's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jesse Lemoine enrolled in Medicare?

Yes. Jesse Lemoine is registered in the Medicare PECOS enrollment system.

What insurance does Jesse Lemoine accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 19 other insurers list Jesse Lemoine 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 Jesse Lemoine was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.