Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARK PIPER D.M.D., M.D., P.A.
NPI 1316992852
Dentist - Oral and Maxillofacial Surgery in St Petersburg, FL

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

Active since May 23, 2006Opted out of Medicare · through Oct 13, 2027

111 2ND AVE NE, STE 1006, ST PETERSBURG, FL 33701(727) 823-3220(727) 823-7284 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mark Piper D.m.d., M.d., P.a. NPPES

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

MARK PIPER D.M.D., M.D., P.A. (NPI 1316992852) is an individual oral and maxillofacial surgery provider in St Petersburg, Florida, licensed in Florida (MD13453) and active in the NPI registry since May 2006. He has opted out of Medicare through October 13, 2027.

NPPES Registry Identity

NPI1316992852

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameMARK PIPERCredential: D.M.D., M.D., P.A.

Location Address111 2ND AVE NE, STE 1006St Petersburg, FL 33701-3434

Mailing Address111 2nd Ave Ne, Ste 1006St Petersburg, FL 33701-3434 · (727) 823-3220 · Fax (727) 823-7284

Phone(727) 823-3220

Fax(727) 823-7284

Sole ProprietorNo

Enumeration DateMay 23, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1316992852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in FL · MD13453✔ Licensed in FL · 10596✔ Licensed in TN · ME0041059✔ Licensed in MA · 17067

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.

111 2ND AVE NE, St Petersburg, FL 33701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mark Piper D.m.d., M.d., P.a. 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 13, 2017 through October 13, 2027.

Opt-Out Effective DateOctober 13, 2017

Opt-Out In Effect ThroughOctober 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 33701 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.