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DR. JOHN MARK EATON D.D.S.
NPI 1265654107
Dentist - General Practice in Beaver Dam, WI

Active since May 02, 2007Opted out of Medicare · through May 20, 2027
107 WARREN ST STE 1, BEAVER DAM, WI 53916(920) 887-7667 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Mark Eaton D.d.s. NPPES

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

DR. JOHN MARK EATON D.D.S. (NPI 1265654107) is an individual general practice provider in Beaver Dam, Wisconsin, licensed in Wisconsin (4525-015) and active in the NPI registry since May 2007. He has opted out of Medicare through May 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265654107
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN MARK EATONCredential: D.D.S.
Location Address107 WARREN ST STE 1Beaver Dam, WI 53916-3031
Mailing Address6836 Starburst DrSun Prairie, WI 53590-9119 · (608) 837-8329
Phone(920) 887-7667
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265654107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 4525-015
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.
107 WARREN ST STE 1, Beaver Dam, WI 53916
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. John Mark Eaton D.d.s. 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 20, 2015 through May 20, 2027.

Opt-Out Effective DateMay 20, 2015
Opt-Out In Effect ThroughMay 20, 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 53916 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.

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 John Eaton's NPI number?

The NPI number for John Eaton is 1265654107. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is John Eaton located?

John Eaton practices at 107 Warren St Ste 1, Beaver Dam, WI 53916. The listed phone number is (920) 887-7667.

What is John Eaton's specialty?

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

Is John Eaton enrolled in Medicare?

No. John Eaton has opted out of Medicare through May 20, 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 John Eaton accept?

Health plans from Delta Dental of Wisconsin, Inc. list John Eaton 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 John Eaton 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.