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JOHN A MARSHALL D.M.D
NPI 1154331395
Dentist - Oral and Maxillofacial Pathology in Fall River, MA

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
180 ELSBREE STREET, FALL RIVER, MA 02720(508) 672-1069(508) 672-3848 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John A Marshall D.m.d NPPES

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

JOHN A MARSHALL D.M.D (NPI 1154331395) is an individual oral and maxillofacial pathology provider in Fall River, Massachusetts, licensed in Massachusetts (18730) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Dental Medicine (1995).

NPPES Registry Identity

NPI1154331395
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameJOHN A MARSHALLCredential: D.M.D
Location Address180 ELSBREE STREETFall River, MA 02720
Mailing Address180 Elsbree StreetFall River, MA 02720 · (508) 672-1069 · Fax (508) 672-3848
Phone(508) 672-1069
Fax(508) 672-3848
Sole ProprietorNo
Medical School CMSTufts University School Of Dental MedicineGraduated 1995
Enumeration DateAugust 9, 2006
Last NPPES UpdateDecember 5, 2012
✔ NPI 1154331395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in MA · 18730
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
180 ELSBREE STREET, Fall River, MA 02720
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Other Identifiers 1

Medicare ID-Type UnspecifiedX20035MA · Medicare Id#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana 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 and accepts Medicare assignment

John A Marshall D.m.d 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 ID1658370481
PECOS Enrollment IDI20061205000459
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

KATHLEEN M CROWLEY D.M.D.
Dentist (Periodontics)
180 ELSBREE STREET
FALL RIVER, MA 02720
Bristol County (508) 672-1069

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 Marshall's NPI number?

The NPI number for John Marshall is 1154331395. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is John Marshall located?

John Marshall practices at 180 Elsbree Street, Fall River, MA 02720. The listed phone number is (508) 672-1069.

What is John Marshall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is John Marshall enrolled in Medicare?

Yes. John Marshall 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.

What insurance does John Marshall accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list John Marshall 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 Marshall was last updated on December 5, 2012. 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.