DR. BRENT LEE FLORINE DDS
NPI 1265440333
Dentist - Oral and Maxillofacial Surgery in Eagan, MN

Active since August 04, 2006Opted out of Medicare · through Mar 17, 2028
4151 KNOB DR STE 101, EAGAN, MN 55122(651) 688-8592(651) 688-3415 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brent Lee Florine Dds NPPES

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

DR. BRENT LEE FLORINE DDS (NPI 1265440333) is an individual oral and maxillofacial surgery provider in Eagan, Minnesota, licensed in Minnesota (9263) and active in the NPI registry since August 2006. He has opted out of Medicare through March 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265440333
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRENT LEE FLORINECredential: DDS
Location Address4151 KNOB DR STE 101Eagan, MN 55122-1876
Mailing Address4151 Knob Dr Ste 101Eagan, MN 55122-1876 · (651) 688-8592 · Fax (651) 688-3415
Fax(651) 688-3415
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1265440333 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 MN · 9263
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.
4151 KNOB DR STE 101, Eagan, MN 55122

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. Brent Lee Florine 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 March 17, 2004 through March 17, 2028.

Opt-Out Effective DateMarch 17, 2004
Opt-Out In Effect ThroughMarch 17, 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 55122 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Oral & Maxillofacial Surgery
4151 KNOB DR STE 101
EAGAN, MN 55122

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 Brent Florine's NPI number?

The NPI number for Brent Florine is 1265440333. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Brent Florine located?

Brent Florine practices at 4151 Knob Dr Ste 101, Eagan, MN 55122. The listed phone number is (651) 688-8592.

What is Brent Florine's specialty?

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

Is Brent Florine enrolled in Medicare?

No. Brent Florine has opted out of Medicare through March 17, 2028. 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 Brent Florine accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Brent Florine 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 Brent Florine 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.