DR. MARK J RIDENOUR DDS
NPI 1265630636
Dentist - Oral and Maxillofacial Surgery in Oshkosh, WI

Active since July 06, 2007Opted out of Medicare · through Oct 15, 2027
1875 W POINTE DR, OSHKOSH, WI 54902(920) 231-4600 Get Directions Write a Review

NPPES record last updated: July 5, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark J Ridenour Dds NPPES

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

DR. MARK J RIDENOUR DDS (NPI 1265630636) is an individual oral and maxillofacial surgery provider in Oshkosh, Wisconsin, licensed in Wisconsin (6044-15) and active in the NPI registry since July 2007. He has opted out of Medicare through October 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265630636
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARK J RIDENOURCredential: DDS
Location Address1875 W POINTE DROshkosh, WI 54902-4174
Mailing Address1875 W Pointe DrOshkosh, WI 54902-4174 · (920) 231-4600
Sole ProprietorNo
Enumeration DateJuly 6, 2007
Last NPPES UpdateJuly 5, 2011
NPI 1265630636 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 WI · 6044-15
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.

1875 W POINTE DR, Oshkosh, WI 54902

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. Mark J Ridenour 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 15, 2021 through October 15, 2027.

Opt-Out Effective DateOctober 15, 2021
Opt-Out In Effect ThroughOctober 15, 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 54902 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Dentist (Oral and Maxillofacial Surgery)
1875 W POINTE DR
OSHKOSH, WI 54902
Dentist (Oral and Maxillofacial Surgery)
1875 W POINTE DR
OSHKOSH, WI 54902

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 Ridenour's NPI number?

The NPI number for Mark Ridenour is 1265630636. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Mark Ridenour located?

Mark Ridenour practices at 1875 W Pointe Dr, Oshkosh, WI 54902. The listed phone number is (920) 231-4600.

What is Mark Ridenour's specialty?

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

Is Mark Ridenour enrolled in Medicare?

No. Mark Ridenour has opted out of Medicare through October 15, 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.

What insurance does Mark Ridenour accept?

Health plans from Delta Dental of Wisconsin, Inc. and Network Health list Mark Ridenour 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 Mark Ridenour was last updated on July 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.