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DR. MARK ANDREW DE SIMONE D.D.S.
NPI 1275781619
Dentist - General Practice in Anna, TX

Active since August 27, 2008Opted out of Medicare · through Feb 4, 2028
701 W WHITE ST, SUITE #2, ANNA, TX 75409(972) 924-2452 Get Directions Write a Review

NPPES record last updated: March 20, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Andrew De Simone D.d.s. NPPES

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

DR. MARK ANDREW DE SIMONE D.D.S. (NPI 1275781619) is an individual general practice provider in Anna, Texas, licensed in Texas (24109) and active in the NPI registry since August 2008. He has opted out of Medicare through February 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275781619
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK ANDREW DE SIMONECredential: D.D.S.
Location Address701 W WHITE ST, SUITE #2Anna, TX 75409-4101
Mailing Address6611 Hillwood LnDallas, TX 75248-5028 · (972) 239-5011
Phone(972) 924-2452
Sole ProprietorYes
Enumeration DateAugust 27, 2008
Last NPPES UpdateMarch 20, 2010
✔ NPI 1275781619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 24109
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.
Also ListedDentistTaxonomy 122300000X · License 24109 (TX)
701 W WHITE ST, Anna, TX 75409
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Mark Andrew De Simone 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 February 4, 2016 through February 4, 2028.

Opt-Out Effective DateFebruary 4, 2016
Opt-Out In Effect ThroughFebruary 4, 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 75409 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 Mark De Simone's NPI number?

The NPI number for Mark De Simone is 1275781619. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is Mark De Simone located?

Mark De Simone practices at 701 W White St Suite #2, Anna, TX 75409. The listed phone number is (972) 924-2452.

What is Mark De Simone's specialty?

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

Is Mark De Simone enrolled in Medicare?

No. Mark De Simone has opted out of Medicare through February 4, 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 Mark De Simone accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Mark De Simone 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 De Simone was last updated on March 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.