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DR. MARC G JOHNSON D.D.S.
NPI 1689770679
Dentist - Oral and Maxillofacial Surgery in Canandaigua, NY

Active since September 16, 2006Opted out of Medicare · through Apr 29, 2028
500 N MAIN ST, CANANDAIGUA, NY 14424(585) 394-3322(585) 394-1175 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marc G Johnson D.d.s. NPPES

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

DR. MARC G JOHNSON D.D.S. (NPI 1689770679) is an individual oral and maxillofacial surgery provider in Canandaigua, New York, licensed in New York (048311) and active in the NPI registry since September 2006. He has opted out of Medicare through April 29, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689770679
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARC G JOHNSONCredential: D.D.S.
Location Address500 N MAIN STCanandaigua, NY 14424-1022
Mailing Address500 N Main StCanandaigua, NY 14424-1022 · (585) 394-3322 · Fax (585) 394-1175
Phone(585) 394-3322
Fax(585) 394-1175
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 27, 2010
✔ NPI 1689770679 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 · 048311
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.
500 N MAIN ST, Canandaigua, NY 14424
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Marc G Johnson 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 April 29, 2016 through April 29, 2028.

Opt-Out Effective DateApril 29, 2016
Opt-Out In Effect ThroughApril 29, 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 14424 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 3

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

DR. NATHAN TYLER CARY DDS
Dentist (Oral and Maxillofacial Surgery)
500 N MAIN ST
CANANDAIGUA, NY 14424
Ontario County (585) 394-3322
PHILLIP GEOFFREY CARY DDS
Dentist (Oral and Maxillofacial Surgery)
500 N MAIN ST
CANANDAIGUA, NY 14424
Ontario County (585) 394-3322
CANANDAIGUA ORAL SURGERY, PC
Dentist (Oral and Maxillofacial Surgery)
500 N MAIN ST
CANANDAIGUA, NY 14424
Ontario County (585) 394-3322

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 Marc Johnson's NPI number?

The NPI number for Marc Johnson is 1689770679. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Marc Johnson located?

Marc Johnson practices at 500 N Main St, Canandaigua, NY 14424. The listed phone number is (585) 394-3322.

What is Marc Johnson's specialty?

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

Is Marc Johnson enrolled in Medicare?

No. Marc Johnson has opted out of Medicare through April 29, 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 Marc Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Marc Johnson 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 Marc Johnson was last updated on April 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.