DANE ST. JOHN M.D.
NPI 1689883589
Dentist - Oral and Maxillofacial Surgery in Cody, WY

Q: What is Dane St. John's NPI number?

The NPI number for Dane St. John is 1689883589. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Dane St. John's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dane St. John was last updated on April 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 21, 2007PECOS Enrolled

707 SHERIDAN AVE, CODY, WY 82414(307) 578-2500(307) 578-2492 Get Directions Write a Review

NPPES record last updated: April 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dane St. John M.d. NPPES

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

DANE ST. JOHN M.D. (NPI 1689883589) is an individual oral and maxillofacial surgery provider in Cody, Wyoming, licensed in Wyoming (9197A) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689883589

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDANE ST. JOHNCredential: M.D.

Location Address707 SHERIDAN AVECody, WY 82414

Mailing Address707 Sheridan AveCody, WY 82414 · (307) 578-2500 · Fax (307) 578-2492

Phone(307) 578-2500

Fax(307) 578-2492

Sole ProprietorNo

Enumeration DateMay 21, 2007

Last NPPES UpdateApril 12, 2013

✔ NPI 1689883589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in WY · 9197A✔ Licensed in AL · 27461

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.

707 SHERIDAN AVE, Cody, WY 82414

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dane St. John M.d. 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 82414 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

$87.12 typical visit price

range $56.42 – $170.72

Typical copayment $21.78 (range $14.10 – $42.68)

Most-billed visit code 99203

Established Patient

$70.32 typical visit price

range $18.19 – $139.32

Typical copayment $17.58 (range $4.54 – $34.83)

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 20

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

DR. TRAVIS S GRAHAM MD

Radiology (Diagnostic Radiology)