DR. DONALD HOYT BOHNE D.D.S.
NPI 1629125869
Dentist - General Practice in Tucker, GA

Active since January 03, 2007Opted out of Medicare · through May 3, 2028
4958 LAVISTA RD, TUCKER, GA 30084(770) 939-6600(770) 939-1287 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Donald Hoyt Bohne D.d.s. NPPES

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

DR. DONALD HOYT BOHNE D.D.S. (NPI 1629125869) is an individual general practice provider in Tucker, Georgia, licensed in Georgia (7403) and active in the NPI registry since January 2007. He has opted out of Medicare through May 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629125869
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DONALD HOYT BOHNECredential: D.D.S.
Location Address4958 LAVISTA RDTucker, GA 30084-4403
Mailing Address4958 Lavista RdTucker, GA 30084-4403 · (770) 939-6600 · Fax (770) 939-1287
Fax(770) 939-1287
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1629125869 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 · 7403
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.
4958 LAVISTA RD, Tucker, GA 30084

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. Donald Hoyt Bohne D.d.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 May 3, 2016 through May 3, 2028.

Opt-Out Effective DateMay 3, 2016
Opt-Out In Effect ThroughMay 3, 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 30084 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Clinic/Center (Dental)
4958 LAVISTA RD
TUCKER, GA 30084
Dentist
4958 LAVISTA RD
TUCKER, GA 30084

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 Donald Bohne's NPI number?

The NPI number for Donald Bohne is 1629125869. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Donald Bohne located?

Donald Bohne practices at 4958 Lavista Rd, Tucker, GA 30084. The listed phone number is (770) 939-6600.

What is Donald Bohne's specialty?

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

Is Donald Bohne enrolled in Medicare?

No. Donald Bohne has opted out of Medicare through May 3, 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 Donald Bohne accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Donald Bohne 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 Donald Bohne 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.