1. Home
  2. Directory
  3. New York
  4. Syracuse
  5. Dentist
  6. NPI Profile

KEVIN MARK FAHEY DMD
NPI 1124210919
Dentist - Endodontics in Syracuse, NY

Active since August 15, 2007Opted out of Medicare · through Dec 9, 2027
600 EAST GENESEE ST, SYRACUSE, NY 13202(315) 476-7406(315) 476-7408 Get Directions Write a Review

NPPES record last updated: August 15, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Mark Fahey Dmd NPPES

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

KEVIN MARK FAHEY DMD (NPI 1124210919) is an individual endodontics provider in Syracuse, New York, licensed in New York (NY050049) and active in the NPI registry since August 2007. He has opted out of Medicare through December 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124210919
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameKEVIN MARK FAHEYCredential: DMD
Location Address600 EAST GENESEE STSyracuse, NY 13202
Mailing Address600 East Genesee StSyracuse, NY 13202
Phone(315) 476-7406
Fax(315) 476-7408
Sole ProprietorNo
Enumeration DateAugust 15, 2007
✔ NPI 1124210919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in NY · NY050049✔ Licensed in FL · DN15647
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.
600 EAST GENESEE ST, Syracuse, NY 13202
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kevin Mark Fahey Dmd 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 December 9, 2015 through December 9, 2027.

Opt-Out Effective DateDecember 9, 2015
Opt-Out In Effect ThroughDecember 9, 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 13202 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

HENRY S ROANE
Psychologist (Cognitive & Behavioral)
600 EAST GENESEE ST, SUITE 130
SYRACUSE, NY 13202
Onondaga County (315) 464-3103
DR. LEAH KATHRYN PHANEUF PHD
Psychologist
600 EAST GENESEE ST, SUITE 130
SYRACUSE, NY 13202
Onondaga County (315) 464-3103
ENDODONTIC ASSOCIATES PC
Dentist (Endodontics)
600 EAST GENESEE ST, SUITE 113
SYRACUSE, NY 13202
Onondaga County (315) 476-7406

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 Kevin Fahey's NPI number?

The NPI number for Kevin Fahey is 1124210919. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Where is Kevin Fahey located?

Kevin Fahey practices at 600 East Genesee St, Syracuse, NY 13202. The listed phone number is (315) 476-7406.

What is Kevin Fahey's specialty?

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

Is Kevin Fahey enrolled in Medicare?

No. Kevin Fahey has opted out of Medicare through December 9, 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.

When was this NPI record last updated?

The NPPES record for Kevin Fahey was last updated on August 15, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.