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DR. GREGORY CHARLES BOHLE D.D.S., M.D.
NPI 1538303243
Dentist - Oral and Maxillofacial Surgery in Centereach, NY

Active since April 24, 2009Opted out of Medicare · through Apr 19, 2027
1 MARK TREE RD, CENTEREACH, NY 11720(631) 737-2626(631) 673-6299 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gregory Charles Bohle D.d.s., M.d. NPPES

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

DR. GREGORY CHARLES BOHLE D.D.S., M.D. (NPI 1538303243) is an individual oral and maxillofacial surgery provider in Centereach, New York, licensed in New York (055610) and active in the NPI registry since April 2009. He has opted out of Medicare through April 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1538303243
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GREGORY CHARLES BOHLECredential: D.D.S., M.D.
Location Address1 MARK TREE RDCentereach, NY 11720-2279
Mailing Address1 Mark Tree RdCentereach, NY 11720-2279 · (631) 737-2626 · Fax (631) 673-6299
Phone(631) 737-2626
Fax(631) 673-6299
Sole ProprietorNo
Enumeration DateApril 24, 2009
Last NPPES UpdateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1538303243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 055610
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.
1 MARK TREE RD, Centereach, NY 11720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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

ⓘ

Opted out of Medicare

Dr. Gregory Charles Bohle D.d.s., M.d. 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 April 19, 2023 through April 19, 2027.

Opt-Out Effective DateApril 19, 2023
Opt-Out In Effect ThroughApril 19, 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 11720 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

DR. ANTHONY J. CASINO DDS
Oral & Maxillofacial Surgery
1 MARK TREE RD
CENTEREACH, NY 11720
Suffolk County (631) 737-2626

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 Gregory Bohle's NPI number?

The NPI number for Gregory Bohle is 1538303243. It was assigned to this individual provider in the NPPES registry on April 24, 2009.

Where is Gregory Bohle located?

Gregory Bohle practices at 1 Mark Tree Rd, Centereach, NY 11720. The listed phone number is (631) 737-2626.

What is Gregory Bohle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Gregory Bohle enrolled in Medicare?

No. Gregory Bohle has opted out of Medicare through April 19, 2027. 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.

What insurance does Gregory Bohle accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 3 other insurers list Gregory Bohle 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 Gregory Bohle was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.