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DR. FRANCIS JOSEPH CUSUMANO DDS
NPI 1316052962
Dentist - Oral and Maxillofacial Surgery in Garner, NC

Active since August 21, 2006Opted out of Medicare · through Aug 2, 2027
5638 NC HIGHWAY 42 W, SUITE 111, GARNER, NC 27529(919) 661-1995(866) 885-5295 Get Directions Write a Review

NPPES record last updated: April 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Francis Joseph Cusumano Dds NPPES

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

DR. FRANCIS JOSEPH CUSUMANO DDS (NPI 1316052962) is an individual oral and maxillofacial surgery provider in Garner, North Carolina, licensed in North Carolina (7936) and active in the NPI registry since August 2006. He has opted out of Medicare through August 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316052962
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. FRANCIS JOSEPH CUSUMANOCredential: DDS
Location Address5638 NC HIGHWAY 42 W, SUITE 111Garner, NC 27529-7998
Mailing Address2054 Kildaire Farm Rd, Mailbox #218Cary, NC 27518-6614 · (919) 661-1995 · Fax (866) 885-5295
Phone(919) 661-1995
Fax(866) 885-5295
Sole ProprietorYes
Enumeration DateAugust 21, 2006
Last NPPES UpdateApril 24, 2013
✔ NPI 1316052962 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 NC · 7936
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.
5638 NC HIGHWAY 42 W, Garner, NC 27529
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Other Identifiers 1

Medicaid5902316NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC 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. Francis Joseph Cusumano 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 August 2, 2023 through August 2, 2027.

Opt-Out Effective DateAugust 2, 2023
Opt-Out In Effect ThroughAugust 2, 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 27529 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 4

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

HSIN CHEN
Dentist (Endodontics)
5638 NC HIGHWAY 42 W, SUITE 214
GARNER, NC 27529
Wake County (919) 661-6161
RACHEL ANNE GREGG SIGMON DDS
Dentist (General Practice)
5638 NC HIGHWAY 42 W, SUITE 214
GARNER, NC 27529
Wake County (919) 661-6161
DR ALAN L BYRD & ASSOCIATES AT LANDMARK OD PA
Optometrist
5638 NC HIGHWAY 42 W, FORTY TWO FORTY PLAZA - SUITE 207
GARNER, NC 27529
Wake County (919) 639-2020
DR. TRACY GOLDSTEIN DDS
Dentist (General Practice)
5638 NC HIGHWAY 42 W
GARNER, NC 27529
Wake County (919) 661-6161

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 Francis Cusumano's NPI number?

The NPI number for Francis Cusumano is 1316052962. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Francis Cusumano located?

Francis Cusumano practices at 5638 Nc Highway 42 W Suite 111, Garner, NC 27529. The listed phone number is (919) 661-1995.

What is Francis Cusumano's specialty?

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

Is Francis Cusumano enrolled in Medicare?

No. Francis Cusumano has opted out of Medicare through August 2, 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 Francis Cusumano accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Francis Cusumano 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 Francis Cusumano was last updated on April 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.