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JAMES LEONARD DESANTIS DDS & MD
NPI 1295898286
Dentist - Oral and Maxillofacial Surgery in Johnson City, NY

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
535 COLUMBIA DRIVE, JOHNSON CITY, NY 13790(607) 729-5900(607) 729-6500 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Leonard Desantis Dds & Md NPPES

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

JAMES LEONARD DESANTIS DDS & MD (NPI 1295898286) is an individual oral and maxillofacial surgery provider in Johnson City, New York, licensed in New York (048526) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of State University Of New York At Buffalo School Of Medicine (2000).

NPPES Registry Identity

NPI1295898286
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJAMES LEONARD DESANTISCredential: DDS & MD
Location Address535 COLUMBIA DRIVEJohnson City, NY 13790
Mailing Address535 Columbia DrJohnson City, NY 13790-3302 · (607) 729-5900 · Fax (607) 729-6500
Phone(607) 729-5900
Fax(607) 729-6500
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2000
Enumeration DateDecember 19, 2006
Last NPPES UpdateMarch 28, 2018
✔ NPI 1295898286 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 NY · 048526
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.
535 COLUMBIA DRIVE, Johnson City, NY 13790
Open in Google Maps ↗

Other Identifiers 2

Other470922122NY · Tax Id Number
Medicaid02395297NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Leonard Desantis Dds & Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375527542
PECOS Enrollment IDI20040623001182
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Desantis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountainview Oral & Maxillofacial Surgery, P.C.
Same address
Oral and Maxillofacial Surgery
535 COLUMBIA DR
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
NPI 1922278480 (607) 729-5900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 James Desantis's NPI number?

The NPI number for James Desantis is 1295898286. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is James Desantis located?

James Desantis practices at 535 Columbia Drive, Johnson City, NY 13790. The listed phone number is (607) 729-5900.

What is James Desantis's specialty?

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

Is James Desantis enrolled in Medicare?

Yes. James Desantis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Desantis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Desantis reassigns Medicare benefits to Mountainview Oral & Maxillofacial Surgery, P.C. (Johnson City, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Desantis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Desantis affiliated with any hospitals?

According to CMS data, James Desantis is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for James Desantis was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.