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MARK T CARLETON DMD
NPI 1396863114
Dentist in Newtown, PA

Active since March 27, 2007PECOS Enrolled
219 N SYCAMORE ST, NEWTOWN, PA 18940(215) 579-9900(215) 579-9000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark T Carleton Dmd NPPES

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

MARK T CARLETON DMD (NPI 1396863114) is an individual dentist in Newtown, Pennsylvania, licensed in Pennsylvania (DS026735L) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396863114
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARK T CARLETONCredential: DMD
Location Address219 N SYCAMORE STNewtown, PA 18940
Mailing Address219 N Sycamore StNewtown, PA 18940 · (215) 579-9900 · Fax (215) 579-9035
Phone(215) 579-9900
Fax(215) 579-9000
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396863114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS026735L
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
219 N SYCAMORE ST, Newtown, PA 18940
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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

✔

Enrolled in Medicare (PECOS)

Mark T Carleton Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18940 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 6

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

DR. STEPHANIE LYNN HORNE DMD
Dentist (General Practice)
219 N SYCAMORE ST
NEWTOWN, PA 18940
Bucks County (215) 515-2022
THE DENTISTS OF NEWTOWN
Dentist
219 N SYCAMORE ST
NEWTOWN, PA 18940
Bucks County (215) 579-9900
DR. SUSAN ELLA HENRICKSON D.M.D.
Dentist
219 N SYCAMORE ST
NEWTOWN, PA 18940
Bucks County (215) 579-9900
DR. CYNTHIA LANE KAUFMAN DDS
Dentist
219 N SYCAMORE ST
NEWTOWN, PA 18940
Bucks County (215) 579-9900
CCD PROFESSIONAL SERVICES, LLC
Dentist
219 N SYCAMORE ST
NEWTOWN, PA 18940
Bucks County (215) 579-9900
DR. JACOB WROTEN DMD
Dentist
219 N SYCAMORE ST
NEWTOWN, PA 18940
Bucks County (215) 579-9900

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 Mark Carleton's NPI number?

The NPI number for Mark Carleton is 1396863114. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Mark Carleton located?

Mark Carleton practices at 219 N Sycamore St, Newtown, PA 18940. The listed phone number is (215) 579-9900.

What is Mark Carleton's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mark Carleton enrolled in Medicare?

Yes. Mark Carleton is registered in the Medicare PECOS enrollment system.

What insurance does Mark Carleton 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 Mark Carleton 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 Mark Carleton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.