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ANTHONY R LISTER DDS
NPI 1679770523
Dentist - General Practice in Old Forge, NY

Active since July 02, 2007PECOS Enrolled
114 S SHORE RD, OLD FORGE, NY 13420(315) 369-6634 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anthony R Lister Dds NPPES

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

ANTHONY R LISTER DDS (NPI 1679770523) is an individual general practice provider in Old Forge, New York, licensed in New York (052886) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679770523
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameANTHONY R LISTERCredential: DDS
Location Address114 S SHORE RDOld Forge, NY 13420-7786
Mailing AddressPo Box 66Old Forge, NY 13420-0066 · (153) 369-6634
Phone(315) 369-6634
Sole ProprietorYes
Enumeration DateJuly 2, 2007
Last NPPES UpdateJune 20, 2019
✔ NPI 1679770523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 052886
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.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 052886 (NY)
114 S SHORE RD, Old Forge, NY 13420
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony R Lister Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13420 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 4

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

JULIE PERLANSKI MD
Family Medicine
114 S SHORE RD
OLD FORGE, NY 13420
Herkimer County (315) 369-6619
SHELBY HARWOOD NP
Nurse Practitioner (Family)
114 S SHORE RD
OLD FORGE, NY 13420
Herkimer County (315) 369-6619
THOMAS J SOCASH MD
Family Medicine
114 S SHORE RD
OLD FORGE, NY 13420
Herkimer County (315) 369-6619
MARK C WEBSTER MD
Family Medicine
114 S SHORE RD
OLD FORGE, NY 13420
Herkimer County (315) 369-6619

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 Anthony Lister's NPI number?

The NPI number for Anthony Lister is 1679770523. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Anthony Lister located?

Anthony Lister practices at 114 S Shore Rd, Old Forge, NY 13420. The listed phone number is (315) 369-6634.

What is Anthony Lister's specialty?

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

Is Anthony Lister enrolled in Medicare?

Yes. Anthony Lister is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Lister was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.