DR. MARK JESIN DDS
NPI 1184885154
Dentist - Oral and Maxillofacial Surgery in Grand Rapids, MI

Q: What is Mark Jesin's NPI number?

The NPI number for Mark Jesin is 1184885154. It was assigned to this individual provider in the NPPES registry on June 22, 2008.

Q: What is Mark Jesin's specialty?

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

Q: Is Mark Jesin enrolled in Medicare?

No. Mark Jesin has opted out of Medicare through October 1, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for Mark Jesin was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 22, 2008Opted out of Medicare · through Oct 1, 2026

3855 BURTON ST SE STE B, GRAND RAPIDS, MI 49546(616) 369-0360(616) 369-0361 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark Jesin Dds NPPES

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

DR. MARK JESIN DDS (NPI 1184885154) is an individual oral and maxillofacial surgery provider in Grand Rapids, Michigan, licensed in Michigan (L2299335) and active in the NPI registry since June 2008. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184885154

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. MARK JESINCredential: DDS

Location Address3855 BURTON ST SE STE BGrand Rapids, MI 49546

Mailing Address3855 Burton St Se Ste BGrand Rapids, MI 49546-6147 · (616) 369-0360 · Fax (616) 369-0361

Phone(616) 369-0360

Fax(616) 369-0361

Sole ProprietorYes

Enumeration DateJune 22, 2008

Last NPPES UpdateFebruary 13, 2019

✔ NPI 1184885154 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 · L2299335

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.

3855 BURTON ST SE STE B, Grand Rapids, MI 49546

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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. Mark Jesin Dds 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 October 1, 2020 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2020

Opt-Out In Effect ThroughOctober 1, 2026Opt-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 49546 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

ADVANCED ORAL SURGERY, PLLC

Dentist (Oral and Maxillofacial Surgery)

3855 BURTON ST SE STE B
GRAND RAPIDS, MI 49546

Kent County (616) 369-0360

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 Mark Jesin's NPI number?

The NPI number for Mark Jesin is 1184885154. It was assigned to this individual provider in the NPPES registry on June 22, 2008.

Where is Mark Jesin located?

Mark Jesin practices at 3855 Burton St SE Ste B, Grand Rapids, MI 49546. The listed phone number is (616) 369-0360.

What is Mark Jesin's specialty?

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

Is Mark Jesin enrolled in Medicare?

No. Mark Jesin has opted out of Medicare through October 1, 2026. 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 Mark Jesin was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.