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DR. MARK LEE ERICKSON DDS
NPI 1619937307
Dentist - General Practice in Anthony, KS

Active since March 25, 2006Opted out of Medicare · through Jan 11, 2028
113 N ANTHONY AVE, ANTHONY, KS 67003(620) 842-3844(620) 842-4139 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Lee Erickson Dds NPPES

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

DR. MARK LEE ERICKSON DDS (NPI 1619937307) is an individual general practice provider in Anthony, Kansas, licensed in Kansas (5629) and active in the NPI registry since March 2006. He has opted out of Medicare through January 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619937307
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK LEE ERICKSONCredential: DDS
Location Address113 N ANTHONY AVEAnthony, KS 67003-2007
Mailing Address113 N Anthony AveAnthony, KS 67003-2007 · (620) 842-3844
Phone(620) 842-3844
Fax(620) 842-4139
Sole ProprietorNo
Enumeration DateMarch 25, 2006
Last NPPES UpdateAugust 8, 2012
✔ NPI 1619937307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KS · 5629
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.
113 N ANTHONY AVE, Anthony, KS 67003
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Other Identifiers 2

Medicaid4054684003KS
Other116666KS · Blue Cross Blue Shield

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 Lee Erickson Dds 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 January 11, 2016 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2016
Opt-Out In Effect ThroughJanuary 11, 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 67003 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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 2

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

DR. CARISSA MARIE GILL DDS
Dentist (General Practice)
113 N ANTHONY AVE
ANTHONY, KS 67003
Harper County (620) 842-3844
ERICKSON & GILL, P.A.
Dentist (General Practice)
113 N ANTHONY AVE
ANTHONY, KS 67003
Harper County (620) 842-3844

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 Erickson's NPI number?

The NPI number for Mark Erickson is 1619937307. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Mark Erickson located?

Mark Erickson practices at 113 N Anthony Ave, Anthony, KS 67003. The listed phone number is (620) 842-3844.

What is Mark Erickson's specialty?

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

Is Mark Erickson enrolled in Medicare?

No. Mark Erickson has opted out of Medicare through January 11, 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 Mark Erickson was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.