DR. SAMER MUFID OTHMAN D.D.S.
NPI 1497001630
Dentist - General Practice in Macon, GA

Q: What is Samer Othman's NPI number?

The NPI number for Samer Othman is 1497001630. It was assigned to this individual provider in the NPPES registry on July 25, 2012.

Q: What is Samer Othman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Samer Othman was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 25, 2012PECOS Enrolled

4705 NORTHSIDE DR, SUITE 100, MACON, GA 31210(478) 207-6939 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Samer Mufid Othman D.d.s. NPPES

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

DR. SAMER MUFID OTHMAN D.D.S. (NPI 1497001630) is an individual general practice provider in Macon, Georgia, licensed in Georgia (DN014686) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497001630

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SAMER MUFID OTHMANCredential: D.D.S.

Location Address4705 NORTHSIDE DR, SUITE 100Macon, GA 31210-1698

Mailing Address4705 Northside Dr, Suite 100Macon, GA 31210-1698 · (478) 207-6939

Phone(478) 207-6939

Sole ProprietorNo

Enumeration DateJuly 25, 2012

Last NPPES UpdateAugust 28, 2014

✔ NPI 1497001630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN014686

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4705 NORTHSIDE DR, Macon, GA 31210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Dr. Samer Mufid Othman D.d.s. 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 31210 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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

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

ADVANCED DENTAL ARTS, LLC

Clinic/Center (Dental)

4705 NORTHSIDE DR, SUITE 100
MACON, GA 31210

Bibb County (478) 207-6939

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 Samer Othman's NPI number?

The NPI number for Samer Othman is 1497001630. It was assigned to this individual provider in the NPPES registry on July 25, 2012.

Where is Samer Othman located?

Samer Othman practices at 4705 Northside Dr Suite 100, Macon, GA 31210. The listed phone number is (478) 207-6939.

What is Samer Othman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Samer Othman enrolled in Medicare?

Yes. Samer Othman is registered in the Medicare PECOS enrollment system.

What insurance does Samer Othman accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Samer Othman 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 Samer Othman was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.