DR. TODD C. LISTON D.D.S., M.S.
NPI 1598835506
Dentist - Oral and Maxillofacial Surgery in Bountiful, UT

Q: What is Todd Liston's NPI number?

The NPI number for Todd Liston is 1598835506. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Todd Liston's specialty?

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

Q: Is Todd Liston enrolled in Medicare?

No. Todd Liston has opted out of Medicare through April 1, 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.

Q: When was this NPI record last updated?

The NPPES record for Todd Liston 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.

Active since November 08, 2006Opted out of Medicare · through Apr 1, 2028

469 MEDICAL DR STE 202, BOUNTIFUL, UT 84010(801) 299-8531(801) 299-9667 Get Directions Write a Review

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

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About Dr. Todd C. Liston D.d.s., M.s. NPPES

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

DR. TODD C. LISTON D.D.S., M.S. (NPI 1598835506) is an individual oral and maxillofacial surgery provider in Bountiful, Utah, licensed in Utah (260605) and active in the NPI registry since November 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1598835506

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. TODD C. LISTONCredential: D.D.S., M.S.

Location Address469 MEDICAL DR STE 202Bountiful, UT 84010-8921

Mailing Address469 Medical Dr Ste 202Bountiful, UT 84010-8921 · (801) 299-8531 · Fax (801) 299-9667

Phone(801) 299-8531

Fax(801) 299-9667

Sole ProprietorYes

Enumeration DateNovember 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1598835506 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 UT · 260605

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.

469 MEDICAL DR STE 202, Bountiful, UT 84010

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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, BEST Life, Blue Cross and Blue Shield of Montana 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. Todd C. Liston D.d.s., M.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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 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 84010 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

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 Todd Liston's NPI number?

The NPI number for Todd Liston is 1598835506. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Todd Liston located?

Todd Liston practices at 469 Medical Dr Ste 202, Bountiful, UT 84010. The listed phone number is (801) 299-8531.

What is Todd Liston's specialty?

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

Is Todd Liston enrolled in Medicare?

No. Todd Liston has opted out of Medicare through April 1, 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.

What insurance does Todd Liston accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 12 other insurers list Todd Liston 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 Todd Liston 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.