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DR. MARC DARREN ENGLE D.D.S.
NPI 1417008046
Dentist - Periodontics in Camillus, NY

Active since January 12, 2007Opted out of Medicare · through Feb 14, 2028
5109 W GENESEE ST, SUITE 202, CAMILLUS, NY 13031(315) 476-5156(315) 475-3805 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marc Darren Engle D.d.s. NPPES

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

DR. MARC DARREN ENGLE D.D.S. (NPI 1417008046) is an individual periodontics provider in Camillus, New York, licensed in New York (043957) and active in the NPI registry since January 2007. He has opted out of Medicare through February 14, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417008046
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MARC DARREN ENGLECredential: D.D.S.
Location Address5109 W GENESEE ST, SUITE 202Camillus, NY 13031-2352
Mailing Address5109 W Genesee St, Suite 202Camillus, NY 13031-2352 · (315) 476-5156 · Fax (315) 475-3805
Phone(315) 476-5156
Fax(315) 475-3805
Sole ProprietorYes
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417008046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NY · 043957
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
5109 W GENESEE ST, Camillus, NY 13031
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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. Marc Darren Engle D.d.s. 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 February 14, 2016 through February 14, 2028.

Opt-Out Effective DateFebruary 14, 2016
Opt-Out In Effect ThroughFebruary 14, 2028Opt-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 13031 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 5

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

DR. MICHAEL WILLIAM FALLON III D.D.S.
Dentist (General Practice)
5109 W GENESEE ST, SUITE 105
CAMILLUS, NY 13031
Onondaga County (315) 487-9377
DR. MICHAEL PAUL KACZOR I DDS
Dentist (General Practice)
5109 W GENESEE ST, SUITE 205
CAMILLUS, NY 13031
Onondaga County (315) 487-2828
DR. BRUCE DALE PARKER DDS
Dentist (General Practice)
5109 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 487-2825
JOSEPH F FINELLI, JR., D.D.S. P.C.
Dentist (Oral and Maxillofacial Surgery)
5109 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 487-2668
DR. JOSEPH FREDERICK FINELLI JR. D.D.S.
Dentist (Oral and Maxillofacial Surgery)
5109 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 487-2668

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 Marc Engle's NPI number?

The NPI number for Marc Engle is 1417008046. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Marc Engle located?

Marc Engle practices at 5109 W Genesee St Suite 202, Camillus, NY 13031. The listed phone number is (315) 476-5156.

What is Marc Engle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Marc Engle enrolled in Medicare?

No. Marc Engle has opted out of Medicare through February 14, 2028. 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.

When was this NPI record last updated?

The NPPES record for Marc Engle 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.