DR. CHADWICK J MARSHALL DMD, MD
NPI 1730283086
Dentist - Oral and Maxillofacial Surgery in Fort Walton Beach, FL

Active since September 08, 2006Opted out of Medicare · through Apr 26, 2028
105 HOLLYWOOD BLVD NE, FORT WALTON BEACH, FL 32548(850) 269-7550(850) 362-6942 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chadwick J Marshall Dmd, Md NPPES

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

DR. CHADWICK J MARSHALL DMD, MD (NPI 1730283086) is an individual oral and maxillofacial surgery provider in Fort Walton Beach, Florida, licensed in Florida (DN14892) and active in the NPI registry since September 2006. He has opted out of Medicare through April 26, 2028.

NPPES Registry Identity

NPI1730283086
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CHADWICK J MARSHALLCredential: DMD, MD
Location Address105 HOLLYWOOD BLVD NEFort Walton Beach, FL 32548-4922
Mailing Address105 Hollywood Blvd NeFort Walton Beach, FL 32548-4922 · (850) 269-7550 · Fax (850) 362-6942
Fax(850) 362-6942
Sole ProprietorNo
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
NPI 1730283086 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 FL · DN14892 Licensed in FL · ME93516
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.
105 HOLLYWOOD BLVD NE, Fort Walton Beach, FL 32548

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. Chadwick J Marshall Dmd, Md 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 26, 2016 through April 26, 2028.

Opt-Out Effective DateApril 26, 2016
Opt-Out In Effect ThroughApril 26, 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 32548 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 2

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

Dentist (Oral and Maxillofacial Surgery)
105 HOLLYWOOD BLVD NE
FORT WALTON BEACH, FL 32548
Dentist (Oral and Maxillofacial Surgery)
105 HOLLYWOOD BLVD NE
FORT WALTON BEACH, FL 32548

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 Chadwick Marshall's NPI number?

The NPI number for Chadwick Marshall is 1730283086. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Chadwick Marshall located?

Chadwick Marshall practices at 105 Hollywood Blvd NE, Fort Walton Beach, FL 32548. The listed phone number is (850) 269-7550.

What is Chadwick Marshall's specialty?

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

Is Chadwick Marshall enrolled in Medicare?

No. Chadwick Marshall has opted out of Medicare through April 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Chadwick Marshall was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.