DR. MAX KERNIZAN D.M.D.
NPI 1811334493
Dentist - Oral and Maxillofacial Surgery in East Longmeadow, MA

Active since May 23, 2013PECOS EnrolledAccepts Medicare Assignment
382 N MAIN ST, EAST LONGMEADOW, MA 01028(413) 525-0100 Get Directions Write a Review

NPPES record last updated: July 17, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 17, 2017, Apr 17, 2017 (2 updates tracked since 2017).

About Dr. Max Kernizan D.m.d. NPPES

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

DR. MAX KERNIZAN D.M.D. (NPI 1811334493) is an individual oral and maxillofacial surgery provider in East Longmeadow, Massachusetts, licensed in Massachusetts (DN1857556) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Baystate Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1811334493
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MAX KERNIZANCredential: D.M.D.
Location Address382 N MAIN STEast Longmeadow, MA 01028-1828
Mailing Address1210 Chapel StNew Haven, CT 06511-4702
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 23, 2013
Last NPPES UpdateJuly 17, 20172 updates tracked since enumeration
NPI 1811334493 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 MA · DN1857556
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.

382 N MAIN ST, East Longmeadow, MA 01028

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and accepts Medicare assignment

Dr. Max Kernizan D.m.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739461161
PECOS Enrollment IDI20171030001482
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization dataset. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01028 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 6

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

Ophthalmology
382 N MAIN ST, SUITE 101
EAST LONGMEADOW, MA 01028
Optometrist
382 N MAIN ST, SUITE 101
EAST LONGMEADOW, MA 01028
Clinic/Center (Sleep Disorder Diagnostic)
382 N MAIN ST, SUITE 102
EAST LONGMEADOW, MA 01028
Ophthalmology
382 N MAIN ST, SUITE 101
E LONGMEADOW, MA 01028
Technician/Technologist (Optician)
382 N MAIN ST, SUITE 101
EAST LONGMEADOW, MA 01028
Dentist (Oral and Maxillofacial Surgery)
382 N MAIN ST, SUITE 202
EAST LONGMEADOW, MA 01028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811334493, enumerated as an "individual" on May 23, 2013.

The provider is located at 382 N MAIN ST EAST LONGMEADOW, MA 01028 and the phone number is (413) 525-0100.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to verify.

Max Kernizan is affiliated with: BAYSTATE MEDICAL CENTER.