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DR. LUKE JOSEPH MACMENAMIN D.D.S.
NPI 1679645733
Dentist - Oral and Maxillofacial Surgery in Woodbury, MN

Active since November 14, 2006Opted out of Medicare · through Nov 28, 2026
8401 SEASONS PKWY, WOODBURY, MN 55125(651) 738-2341(651) 738-9048 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. Luke Joseph Macmenamin D.d.s. NPPES

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

DR. LUKE JOSEPH MACMENAMIN D.D.S. (NPI 1679645733) is an individual oral and maxillofacial surgery provider in Woodbury, Minnesota, licensed in Minnesota (D11556) and active in the NPI registry since November 2006. He has opted out of Medicare through November 28, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679645733
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LUKE JOSEPH MACMENAMINCredential: D.D.S.
Location Address8401 SEASONS PKWYWoodbury, MN 55125-3414
Mailing Address8401 Seasons PkwyWoodbury, MN 55125-3414 · (651) 738-2341 · Fax (651) 738-9048
Phone(651) 738-2341
Fax(651) 738-9048
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679645733 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 MN · D11556
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.
8401 SEASONS PKWY, Woodbury, MN 55125
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Other Identifiers 2

Medicare UPINV04850
Medicaid33797100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Delta Dental of Wisconsin, Inc., Florida Combined Life 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. Luke Joseph Macmenamin 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 November 28, 2008 through November 28, 2026.

Opt-Out Effective DateNovember 28, 2008
Opt-Out In Effect ThroughNovember 28, 2026Opt-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 55125 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 5

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

METROPOLITAN ENDODONTICS LTD.
Dentist (Endodontics)
8401 SEASONS PKWY, SUITE 400
WOODBURY, MN 55125
Washington County (651) 735-6334
NOAH LEELYND BARNARD DC
Chiropractor
8401 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 731-0505
WOODBURY ENDODONTICS, LLC
Dentist (Endodontics)
8401 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 735-6430
DR. CHRISTOPHER J FRENCH DDS
Dentist (Oral and Maxillofacial Surgery)
8401 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 738-2341
DR. STEVEN JAY RODENBURG D.D.S.
Dentist (Oral and Maxillofacial Surgery)
8401 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 738-2341

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 Luke Macmenamin's NPI number?

The NPI number for Luke Macmenamin is 1679645733. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Luke Macmenamin located?

Luke Macmenamin practices at 8401 Seasons Pkwy, Woodbury, MN 55125. The listed phone number is (651) 738-2341.

What is Luke Macmenamin's specialty?

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

Is Luke Macmenamin enrolled in Medicare?

No. Luke Macmenamin has opted out of Medicare through November 28, 2026. 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 Luke Macmenamin accept?

Health plans from Anthem Blue Cross and Blue Shield, Delta Dental of Wisconsin, Inc., Florida Combined Life and HealthPartners list Luke Macmenamin 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 Luke Macmenamin 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.