DR. RODRICK HEATH DEASON D.M.D.
NPI 1174542401
Dentist - Endodontics in Fort Walton Beach, FL

Q: What is Rodrick Deason's NPI number?

The NPI number for Rodrick Deason is 1174542401. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Rodrick Deason's specialty?

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

Q: Is Rodrick Deason enrolled in Medicare?

No. Rodrick Deason has opted out of Medicare through August 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Rodrick Deason was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 18, 2006Opted out of Medicare · through Aug 4, 2028

207 PELHAM RD, FORT WALTON BEACH, FL 32547(850) 863-3636(850) 863-3639 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Rodrick Heath Deason D.m.d. NPPES

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

DR. RODRICK HEATH DEASON D.M.D. (NPI 1174542401) is an individual endodontics provider in Fort Walton Beach, Florida, licensed in Florida (DN15641) and active in the NPI registry since July 2006. He has opted out of Medicare through August 4, 2028.

NPPES Registry Identity

NPI1174542401

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. RODRICK HEATH DEASONCredential: D.M.D.

Location Address207 PELHAM RDFort Walton Beach, FL 32547-3604

Mailing Address207 Pelham RdFort Walton Beach, FL 32547-3604 · (850) 863-3636 · Fax (850) 863-3639

Phone(850) 863-3636

Fax(850) 863-3639

Sole ProprietorYes

Enumeration DateJuly 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174542401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in FL · DN15641

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.

207 PELHAM RD, Fort Walton Beach, FL 32547

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Rodrick Heath Deason D.m.d. 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 August 4, 2016 through August 4, 2028.

Opt-Out Effective DateAugust 4, 2016

Opt-Out In Effect ThroughAugust 4, 2028Opt-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 32547 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 2

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

JEREMIAH D. PATRICK, D.M.D., P.A.

Dentist (Endodontics)

207 PELHAM RD
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 808-3636

DR. JEREMIAH DANIEL PATRICK DMD

Dentist (Endodontics)

207 PELHAM RD
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 808-3636

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 Rodrick Deason's NPI number?

The NPI number for Rodrick Deason is 1174542401. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Rodrick Deason located?

Rodrick Deason practices at 207 Pelham Rd, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-3636.

What is Rodrick Deason's specialty?

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

Is Rodrick Deason enrolled in Medicare?

No. Rodrick Deason has opted out of Medicare through August 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rodrick Deason was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.