DR. MARK ANDREW STEPHENS D.M.D.
NPI 1255652665
Dentist - Oral and Maxillofacial Surgery in Champaign, IL

Q: What is Mark Stephens's NPI number?

The NPI number for Mark Stephens is 1255652665. It was assigned to this individual provider in the NPPES registry on June 20, 2010.

Q: What is Mark Stephens's specialty?

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

Q: Is Mark Stephens enrolled in Medicare?

No. Mark Stephens has opted out of Medicare through May 8, 2027. 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 Stephens was last updated on August 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2010Opted out of Medicare · through May 8, 2027

101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820(217) 366-1246 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Mark Andrew Stephens D.m.d. NPPES

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

DR. MARK ANDREW STEPHENS D.M.D. (NPI 1255652665) is an individual oral and maxillofacial surgery provider in Champaign, Illinois, licensed in Illinois (021002666) and active in the NPI registry since June 2010. He has opted out of Medicare through May 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255652665

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. MARK ANDREW STEPHENSCredential: D.M.D.

Location Address101 W UNIVERSITY AVEChampaign, IL 61820-3909

Mailing Address101 W University AveChampaign, IL 61820-3909 · (217) 366-8107

Phone(217) 366-1246

Sole ProprietorNo

Enumeration DateJune 20, 2010

Last NPPES UpdateAugust 19, 2015

✔ NPI 1255652665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in IL · 021002666

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019.028331 (IL)

101 W UNIVERSITY AVE, Champaign, IL 61820

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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 Andrew Stephens 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 May 8, 2017 through May 8, 2027.

Opt-Out Effective DateMay 8, 2017

Opt-Out In Effect ThroughMay 8, 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 61820 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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Other Providers at the Same Location NPPES 20

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

ELLEN FLORA

Physician Assistant