DR. MARK EDWARD GONYO D.D.S.
NPI 1811087794
Dentist - General Practice in Green Bay, WI

Active since October 13, 2006PECOS Enrolled
1415 W MASON ST, GREEN BAY, WI 54303(920) 499-9131(920) 499-4580 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Mark Edward Gonyo D.d.s. NPPES

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

DR. MARK EDWARD GONYO D.D.S. (NPI 1811087794) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (3502) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811087794
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK EDWARD GONYOCredential: D.D.S.
Location Address1415 W MASON STGreen Bay, WI 54303-2120
Mailing Address1415 W Mason StGreen Bay, WI 54303-2120 · (920) 499-9131 · Fax (920) 499-4580
Fax(920) 499-4580
Sole ProprietorYes
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1811087794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 3502
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1415 W MASON ST, Green Bay, WI 54303

Accepted 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)

Dr. Mark Edward Gonyo D.d.s. 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 54303 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Dentist (General Practice)
1415 W MASON ST
GREEN BAY, WI 54303

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 Gonyo's NPI number?

The NPI number for Mark Gonyo is 1811087794. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Mark Gonyo located?

Mark Gonyo practices at 1415 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 499-9131.

What is Mark Gonyo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mark Gonyo enrolled in Medicare?

Yes. Mark Gonyo is registered in the Medicare PECOS enrollment system.

What insurance does Mark Gonyo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mark Gonyo 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 Mark Gonyo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.