DR. MARIA S FRASER D.M.D.
NPI 1245329093
Dentist - Pediatric Dentistry in St Augustine, FL

Q: What is Maria Fraser's NPI number?

The NPI number for Maria Fraser is 1245329093. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Maria Fraser's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: Is Maria Fraser enrolled in Medicare?

No. Maria Fraser has opted out of Medicare through January 11, 2027. 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 Maria Fraser was last updated on February 27, 2013. 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.

Active since October 12, 2006Opted out of Medicare · through Jan 11, 2027

1100 S PONCE DE LEON BLVD, ST AUGUSTINE, FL 32084(904) 829-6321(904) 829-2338 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Maria S Fraser D.m.d. NPPES

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

DR. MARIA S FRASER D.M.D. (NPI 1245329093) is an individual pediatric dentistry provider in St Augustine, Florida, licensed in Florida (DN14127) and active in the NPI registry since October 2006. She has opted out of Medicare through January 11, 2027.

NPPES Registry Identity

NPI1245329093

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. MARIA S FRASERCredential: D.M.D.

Location Address1100 S PONCE DE LEON BLVDSt Augustine, FL 32084-6099

Mailing Address1100 S Ponce De Leon BlvdSt Augustine, FL 32084-6099 · (904) 829-6321 · Fax (904) 829-2338

Phone(904) 829-6321

Fax(904) 829-2338

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateFebruary 27, 2013

✔ NPI 1245329093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in FL · DN14127

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1100 S PONCE DE LEON BLVD, St Augustine, FL 32084

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, 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

ⓘ

Opted out of Medicare

Dr. Maria S Fraser 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 January 11, 2017 through January 11, 2027.

Opt-Out Effective DateJanuary 11, 2017

Opt-Out In Effect ThroughJanuary 11, 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 32084 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.

ST AUGUSTINE PHYSICAL MEDICINE

Clinic/Center (Primary Care)

1100 S PONCE DE LEON BLVD, SUITE 3-A
ST AUGUSTINE, FL 32084

St. Johns County (904) 429-7071

DEBORAH DUNGAN LMHC

Counselor (Mental Health)

1100 S PONCE DE LEON BLVD
ST AUGUSTINE, FL 32084

St. Johns County (904) 824-7733

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 Maria Fraser's NPI number?

The NPI number for Maria Fraser is 1245329093. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Maria Fraser located?

Maria Fraser practices at 1100 S Ponce De Leon Blvd, St Augustine, FL 32084. The listed phone number is (904) 829-6321.

What is Maria Fraser's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Maria Fraser enrolled in Medicare?

No. Maria Fraser has opted out of Medicare through January 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Maria Fraser accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Maria Fraser 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 Maria Fraser was last updated on February 27, 2013. 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.