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DR. MARK S OLIVERSON DMD
NPI 1689797458
Dentist in Salmon, ID

Active since April 09, 2007Opted out of Medicare · through Apr 27, 2028
207 MARGARET ST, SALMON, ID 83467(208) 756-2262(208) 756-4473 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark S Oliverson Dmd NPPES

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

DR. MARK S OLIVERSON DMD (NPI 1689797458) is an individual dentist in Salmon, Idaho, licensed in Idaho (D4013) and active in the NPI registry since April 2007. He has opted out of Medicare through April 27, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689797458
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MARK S OLIVERSONCredential: DMD
Location Address207 MARGARET STSalmon, ID 83467-4400
Mailing Address207 Margaret StSalmon, ID 83467-4400 · (208) 756-2262 · Fax (208) 756-4473
Phone(208) 756-2262
Fax(208) 756-4473
Sole ProprietorYes
Enumeration DateApril 9, 2007
Last NPPES UpdateOctober 9, 2014
✔ NPI 1689797458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D4013
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
207 MARGARET ST, Salmon, ID 83467
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Other Identifiers 1

Medicaid807527500ID

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. Mark S Oliverson Dmd 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 27, 2016 through April 27, 2028.

Opt-Out Effective DateApril 27, 2016
Opt-Out In Effect ThroughApril 27, 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 83467 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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

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

MARK S. OLIVERSON, D.M.D.
Clinic/Center (Dental)
207 MARGARET ST
SALMON, ID 83467
Lemhi County (208) 756-2262

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 Mark Oliverson's NPI number?

The NPI number for Mark Oliverson is 1689797458. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Mark Oliverson located?

Mark Oliverson practices at 207 Margaret St, Salmon, ID 83467. The listed phone number is (208) 756-2262.

What is Mark Oliverson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mark Oliverson enrolled in Medicare?

No. Mark Oliverson has opted out of Medicare through April 27, 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 Mark Oliverson was last updated on October 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.