SAMUEL N ADDISON DDS, MD
NPI 1285920769
Dentist - Oral and Maxillofacial Surgery in Raleigh, NC

Active since June 23, 2011Opted out of Medicare · through Jul 13, 2027
8305 FALLS OF NEUSE RD STE 105, RALEIGH, NC 27615(919) 841-1720(919) 841-1725 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel N Addison Dds, Md NPPES

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

SAMUEL N ADDISON DDS, MD (NPI 1285920769) is an individual oral and maxillofacial surgery provider in Raleigh, North Carolina, licensed in North Carolina (11509) and active in the NPI registry since June 2011. He has opted out of Medicare through July 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285920769
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameSAMUEL N ADDISONCredential: DDS, MD
Location Address8305 FALLS OF NEUSE RD STE 105Raleigh, NC 27615-3546
Mailing Address8305 Falls Of Neuse Rd Ste 105Raleigh, NC 27615-3546
Fax(919) 841-1725
Sole ProprietorNo
Enumeration DateJune 23, 2011
Last NPPES UpdateJune 26, 2019
NPI 1285920769 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 NC · 11509
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 ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License DL-11243 (MA)
8305 FALLS OF NEUSE RD STE 105, Raleigh, NC 27615

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

Samuel N Addison Dds, Md 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 July 13, 2019 through July 13, 2027.

Opt-Out Effective DateJuly 13, 2019
Opt-Out In Effect ThroughJuly 13, 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 27615 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 5

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

Dentist (Oral and Maxillofacial Surgery)
8305 FALLS OF NEUSE RD STE 105
RALEIGH, NC 27615
Oral & Maxillofacial Surgery
8305 FALLS OF NEUSE RD STE 105
RALEIGH, NC 27615
Dentist (Oral and Maxillofacial Pathology)
8305 FALLS OF NEUSE RD STE 105
RALEIGH, NC 27615
Dentist (Oral and Maxillofacial Surgery)
8305 FALLS OF NEUSE RD STE 105
RALEIGH, NC 27615
Dentist (Oral and Maxillofacial Surgery)
8305 FALLS OF NEUSE RD STE 105
RALEIGH, NC 27615

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 Samuel Addison's NPI number?

The NPI number for Samuel Addison is 1285920769. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Samuel Addison located?

Samuel Addison practices at 8305 Falls Of Neuse Rd Ste 105, Raleigh, NC 27615. The listed phone number is (919) 841-1720.

What is Samuel Addison's specialty?

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

Is Samuel Addison enrolled in Medicare?

No. Samuel Addison has opted out of Medicare through July 13, 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 Samuel Addison accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Samuel Addison 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 Samuel Addison was last updated on June 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.