DR. MARK LANE MCENTIRE D.M.D.
NPI 1558595074
Dentist - Periodontics in Charleston, SC

Active since May 12, 2009Opted out of Medicare · through Nov 1, 2027
173 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-2880 Get Directions Write a Review

NPPES record last updated: May 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Lane Mcentire D.m.d. NPPES

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

DR. MARK LANE MCENTIRE D.M.D. (NPI 1558595074) is an individual periodontics provider in Charleston, South Carolina, licensed in South Carolina (4488) and active in the NPI registry since May 2009. He has opted out of Medicare through November 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558595074
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MARK LANE MCENTIRECredential: D.M.D.
Location Address173 ASHLEY AVECharleston, SC 29425-8908
Mailing Address1025 Riverland Woods Pl Apt 906Charleston, SC 29412-4141 · (803) 924-3857
Sole ProprietorYes
Enumeration DateMay 12, 2009
NPI 1558595074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in SC · 4488
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.

173 ASHLEY AVE, Charleston, SC 29425

Accepted 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. Mark Lane Mcentire D.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 November 1, 2015 through November 1, 2027.

Opt-Out Effective DateNovember 1, 2015
Opt-Out In Effect ThroughNovember 1, 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 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 20

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

Dentist (General Practice)
173 ASHLEY AVE, BSB-335
CHARLESTON, SC 29425
Dentist (Periodontics)
173 ASHLEY AVE, ROOM 346 BSB
CHARLESTON, SC 29425
Dentist
173 ASHLEY AVE, BSB346
CHARLESTON, SC 29425
Dentist (Oral and Maxillofacial Pathology)
173 ASHLEY AVE, ROOM 544 BSB, DIVISION OF ORAL PATHOLOGY, MUSC
CHARLESTON, SC 29425
Dentist
173 ASHLEY AVE, DENTAL FACULTY PRACTICE
CHARLESTON, SC 29425
Dentist (General Practice)
173 ASHLEY AVE, BSB - ROOM 346
CHARLESTON, SC 29425
Dentist (Periodontics)
173 ASHLEY AVE, 343 BSB
CHARLESTON, SC 29425
Dentist
173 ASHLEY AVE
CHARLESTON, SC 29425

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 Mcentire's NPI number?

The NPI number for Mark Mcentire is 1558595074. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Where is Mark Mcentire located?

Mark Mcentire practices at 173 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-2880.

What is Mark Mcentire's specialty?

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

Is Mark Mcentire enrolled in Medicare?

No. Mark Mcentire has opted out of Medicare through November 1, 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 Mark Mcentire 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 BlueCross BlueShield of South Carolina list Mark Mcentire 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 Mcentire was last updated on May 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.