DR. JONATHAN DAVID WEISS D.M.D
NPI 1225487689
Dentist - General Practice in Lake City, FL

Active since June 07, 2016Opted out of Medicare · through Oct 12, 2026
272 SW BENTLEY PL, LAKE CITY, FL 32025(386) 752-3043 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jonathan David Weiss D.m.d NPPES

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

DR. JONATHAN DAVID WEISS D.M.D (NPI 1225487689) is an individual general practice provider in Lake City, Florida, licensed in Florida (DN 21872) and active in the NPI registry since June 2016. He has opted out of Medicare through October 12, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225487689
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JONATHAN DAVID WEISSCredential: D.M.D
Location Address272 SW BENTLEY PLLake City, FL 32025-6972
Mailing Address255 Sw Main BlvdLake City, FL 32025-7050 · (386) 752-2480 · Fax (386) 755-8757
Sole ProprietorNo
Enumeration DateJune 7, 2016
Last NPPES UpdateMay 3, 2023
NPPES CertifiedMay 3, 2023
NPI 1225487689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN 21872
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

272 SW BENTLEY PL, Lake City, FL 32025

Accepted Insurance

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. Jonathan David Weiss 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 October 12, 2022 through October 12, 2026.

Opt-Out Effective DateOctober 12, 2022
Opt-Out In Effect ThroughOctober 12, 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 32025 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 5

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

Dentist (General Practice)
272 SW BENTLEY PL
LAKE CITY, FL 32025
Dentist
272 SW BENTLEY PL
LAKE CITY, FL 32025
Dentist (General Practice)
272 SW BENTLEY PL
LAKE CITY, FL 32025
Dentist
272 SW BENTLEY PL
LAKE CITY, FL 32025
Dentist (General Practice)
272 SW BENTLEY PL
LAKE CITY, FL 32025

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 Jonathan Weiss's NPI number?

The NPI number for Jonathan Weiss is 1225487689. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Jonathan Weiss located?

Jonathan Weiss practices at 272 SW Bentley Pl, Lake City, FL 32025. The listed phone number is (386) 752-3043.

What is Jonathan Weiss's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jonathan Weiss enrolled in Medicare?

No. Jonathan Weiss has opted out of Medicare through October 12, 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.

What insurance does Jonathan Weiss accept?

Health plans from Humana list Jonathan Weiss 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 Jonathan Weiss was last updated on May 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.