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DONALD R. LIBERTY DDS
NPI 1306924980
Dentist - Oral and Maxillofacial Surgery in El Dorado Hills, CA

Active since November 01, 2006Opted out of Medicare · through Oct 1, 2027
4913 GOLDEN FOOTHILL PKWY, EL DORADO HILLS, CA 95762(916) 941-9860(916) 941-7165 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald R. Liberty Dds NPPES

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

DONALD R. LIBERTY DDS (NPI 1306924980) is an individual oral and maxillofacial surgery provider in El Dorado Hills, California, licensed in California (53466) and active in the NPI registry since November 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Auburn.

NPPES Registry Identity

NPI1306924980
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDONALD R. LIBERTYCredential: DDS
Location Address4913 GOLDEN FOOTHILL PKWYEl Dorado Hills, CA 95762
Mailing Address4913 Golden Foothill PkwyEl Dorado Hills, CA 95762-9632 · (916) 941-9860 · Fax (916) 941-7165
Phone(916) 941-9860
Fax(916) 941-7165
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 19, 2018
✔ NPI 1306924980 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 CA · 53466
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.
4913 GOLDEN FOOTHILL PKWY, El Dorado Hills, CA 95762
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Secondary Practice Location 1

Location 111961 Heritage Oak PlAuburn, CA 95603-2461 · Phone (530) 988-5878 · Fax (530) 988-5254

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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

Donald R. Liberty 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 1, 2015 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2015
Opt-Out In Effect ThroughOctober 1, 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 95762 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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.

JOSEPH MARTIN FARKASH D.D.S.
Dentist (General Practice)
4913 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA 95762
El Dorado County (530) 556-4810
DONALD R. LIBERTY, DDS, INC.
Dentist (Oral and Maxillofacial Surgery)
4913 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA 95762
El Dorado County (916) 941-9860

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 Donald Liberty's NPI number?

The NPI number for Donald Liberty is 1306924980. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Donald Liberty located?

Donald Liberty practices at 4913 Golden Foothill Pkwy, El Dorado Hills, CA 95762. The listed phone number is (916) 941-9860.

What is Donald Liberty's specialty?

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

Is Donald Liberty enrolled in Medicare?

No. Donald Liberty has opted out of Medicare through October 1, 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 Donald Liberty accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Donald Liberty 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 Donald Liberty was last updated on July 19, 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.