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DR. BETH BRUNNER DMD, MD, PLLC
NPI 1649432139
Dentist - Oral and Maxillofacial Surgery in Lake Placid, NY

Active since June 26, 2008Opted out of Medicare · through Jan 6, 2028
1936 SARANAC AVE, SUITE 101, LAKE PLACID, NY 12946(518) 837-5019(518) 837-5093 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Beth Brunner Dmd, Md, Pllc NPPES

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

DR. BETH BRUNNER DMD, MD, PLLC (NPI 1649432139) is an individual oral and maxillofacial surgery provider in Lake Placid, New York, licensed in New York (054553) and active in the NPI registry since June 2008. She has opted out of Medicare through January 6, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649432139
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BETH BRUNNERCredential: DMD, MD, PLLC
Location Address1936 SARANAC AVE, SUITE 101Lake Placid, NY 12946-1114
Mailing Address1936 Saranac Ave, Suite 101Lake Placid, NY 12946-1114 · (518) 837-5019 · Fax (518) 837-5093
Phone(518) 837-5019
Fax(518) 837-5093
Sole ProprietorYes
Enumeration DateJune 26, 2008
Last NPPES UpdateApril 24, 2012
✔ NPI 1649432139 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 · 054553
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.
1936 SARANAC AVE, Lake Placid, NY 12946
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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. Beth Brunner Dmd, Md, Pllc 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 6, 2016 through January 6, 2028.

Opt-Out Effective DateJanuary 6, 2016
Opt-Out In Effect ThroughJanuary 6, 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 12946 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

BETH BRUNNER, DMD, PLLC
Clinic/Center (Dental)
1936 SARANAC AVE, SUITE 101
LAKE PLACID, NY 12946
Essex County (518) 837-5019
KIT MORGAN LCSW
Social Worker (Clinical)
1936 SARANAC AVE
LAKE PLACID, NY 12946
Essex County (518) 956-4214

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 Beth Brunner's NPI number?

The NPI number for Beth Brunner is 1649432139. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Beth Brunner located?

Beth Brunner practices at 1936 Saranac Ave Suite 101, Lake Placid, NY 12946. The listed phone number is (518) 837-5019.

What is Beth Brunner's specialty?

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

Is Beth Brunner enrolled in Medicare?

No. Beth Brunner has opted out of Medicare through January 6, 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 Beth Brunner was last updated on April 24, 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.