GREATER PHILADELPHIA ORAL SURGERY PC
NPI 1366549594
Oral & Maxillofacial Surgery in Elkins Park, PA
About Greater Philadelphia Oral Surgery Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREATER PHILADELPHIA ORAL SURGERY PC (NPI 1366549594), doing business as Mark J. Funt, Dmd Pc, is a healthcare organization registered as an oral & maxillofacial surgery in Elkins Park, Pennsylvania and active in the NPI registry since September 2006. The organization maintains a secondary practice location in King Of Prussia and lists Donna Marie Scott, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Greater Philadelphia Oral Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Greater Philadelphia Oral Surgery PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Elkins Park, PA 19027
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Greater Philadelphia Oral Surgery PC's NPI number?
The NPI number for Greater Philadelphia Oral Surgery PC is 1366549594. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider was formerly known as Mark J. Funt, Dmd PC.
Where is Greater Philadelphia Oral Surgery PC located?
Greater Philadelphia Oral Surgery PC is located at 401 Township Line Road Suite 'c', Elkins Park, PA 19027. The listed phone number is (215) 379-5520.
What is Greater Philadelphia Oral Surgery PC's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Greater Philadelphia Oral Surgery PC enrolled in Medicare?
Yes. Greater Philadelphia Oral Surgery PC is registered in the Medicare PECOS enrollment system.
When is Greater Philadelphia Oral Surgery PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Greater Philadelphia Oral Surgery PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Greater Philadelphia Oral Surgery PC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Greater Philadelphia Oral Surgery PC was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Greater Philadelphia Oral Surgery Pc · NPI 1366549594
Oral & Maxillofacial Surgery organization in Elkins Park, Pennsylvania. Organization record, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1366549594 (Entity type: Organization)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **Organization subpart:** No
- **Authorized official:** Donna Scott, OFFICE MANAGER
## Practice location
- **Address:** 401 TOWNSHIP LINE ROAD, SUITE 'C', Elkins Park, PA 19027
- **Phone:** (215) 379-5520 · **Fax:** (215) 663-5934
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Oral Surgery) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366549594) · Data from the CMS NPPES public registry.