DR. MARK T BRAXTON D.M.D.
NPI 1780725317
Dentist - Oral and Maxillofacial Surgery in Pensacola, FL

Active since February 08, 2007Opted out of Medicare · through Jul 1, 2028
5075 CARPENTER CREEK DR, PENSACOLA, FL 32503(850) 477-8482(850) 477-7604 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Mark T Braxton D.m.d. NPPES

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

DR. MARK T BRAXTON D.M.D. (NPI 1780725317) is an individual oral and maxillofacial surgery provider in Pensacola, Florida, licensed in Florida (DN09406) and active in the NPI registry since February 2007. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780725317
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARK T BRAXTONCredential: D.M.D.
Location Address5075 CARPENTER CREEK DRPensacola, FL 32503-2521
Mailing Address5075 Carpenter Creek DrPensacola, FL 32503-2521 · (850) 477-8482 · Fax (850) 477-7604
Fax(850) 477-7604
Sole ProprietorNo
Enumeration DateFebruary 8, 2007
Last NPPES UpdateSeptember 13, 2016
NPI 1780725317 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 FL · DN09406
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.
5075 CARPENTER CREEK DR, Pensacola, FL 32503

Other Identifiers 1

Medicare UPINT85335FL

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. Mark T Braxton D.m.d. 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 July 1, 2014 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2014
Opt-Out In Effect ThroughJuly 1, 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 32503 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 3

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

Dentist (Oral and Maxillofacial Surgery)
5075 CARPENTER CREEK DR
PENSACOLA, FL 32503
Dentist (Oral and Maxillofacial Surgery)
5075 CARPENTER CREEK DR
PENSACOLA, FL 32503
Dentist (General Practice)
5075 CARPENTER CREEK DR
PENSACOLA, FL 32503

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 Braxton's NPI number?

The NPI number for Mark Braxton is 1780725317. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Mark Braxton located?

Mark Braxton practices at 5075 Carpenter Creek Dr, Pensacola, FL 32503. The listed phone number is (850) 477-8482.

What is Mark Braxton's specialty?

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

Is Mark Braxton enrolled in Medicare?

No. Mark Braxton has opted out of Medicare through July 1, 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 Braxton was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.