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MITCHELL A STARK DDS
NPI 1841371630
Dentist - Oral and Maxillofacial Surgery in Rockville, MD

Active since October 18, 2006Opted out of Medicare · through Aug 8, 2026
14955 SHADY GROVE RD, SUITE 330, ROCKVILLE, MD 20850(301) 340-0101(301) 340-1689 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitchell A Stark Dds NPPES

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

MITCHELL A STARK DDS (NPI 1841371630) is an individual oral and maxillofacial surgery provider in Rockville, Maryland, licensed in Maryland (11426) and active in the NPI registry since October 2006. He has opted out of Medicare through August 8, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841371630
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMITCHELL A STARKCredential: DDS
Location Address14955 SHADY GROVE RD, SUITE 330Rockville, MD 20850
Mailing Address14955 Shady Grove Rd, Suite 330Rockville, MD 20850 · (301) 340-0101 · Fax (301) 340-1689
Phone(301) 340-0101
Fax(301) 340-1689
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1841371630 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 MD · 11426✔ Licensed in DC · DEN5790
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.
14955 SHADY GROVE RD, Rockville, MD 20850
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified014942 M26
Medicare UPINU54307

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mitchell A Stark Dds 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 August 8, 2016 through August 8, 2026.

Opt-Out Effective DateAugust 8, 2016
Opt-Out In Effect ThroughAugust 8, 2026Opt-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 20850 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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. SHEILA GAY LEVIN MD
Internal Medicine (Gastroenterology)
14955 SHADY GROVE RD, SUITE 150
ROCKVILLE, MD 20850
Montgomery County (301) 340-3252
DR. CHIRAG PATEL MD, DDS
Dentist (Oral and Maxillofacial Surgery)
14955 SHADY GROVE RD, SUITE 330
ROCKVILLE, MD 20850
Montgomery County (301) 340-0101
JOHNS HOPKINS COMMUNITY PHYSICIANS
Internal Medicine
14955 SHADY GROVE RD
ROCKVILLE, MD 20850
Montgomery County (410) 933-0000
DR. FABIANA STEREN OFFIT DDS
Dentist
14955 SHADY GROVE RD, SUITE 360
ROCKVILLE, MD 20850
Montgomery County (301) 610-7724
STERN, GREENBAUM, KRANTZ AND SCHWARTZ
Dentist
14955 SHADY GROVE RD, SUITE 200
ROCKVILLE, MD 20850
Montgomery County (301) 610-9909
LAWRENCE ALAN BASSIN MD
Internal Medicine (Gastroenterology)
14955 SHADY GROVE RD, SUITE 150
ROCKVILLE, MD 20850
Montgomery County (301) 340-3252
MICHAEL AARON GNATT MD
Internal Medicine
14955 SHADY GROVE RD, SUITE 100
ROCKVILLE, MD 20850
Montgomery County (301) 990-3193
ALAN N SCHULMAN MD
Internal Medicine (Gastroenterology)
14955 SHADY GROVE RD, SUITE 150
ROCKVILLE, MD 20850
Montgomery County (301) 340-3252

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 Mitchell Stark's NPI number?

The NPI number for Mitchell Stark is 1841371630. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Mitchell Stark located?

Mitchell Stark practices at 14955 Shady Grove Rd Suite 330, Rockville, MD 20850. The listed phone number is (301) 340-0101.

What is Mitchell Stark's specialty?

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

Is Mitchell Stark enrolled in Medicare?

No. Mitchell Stark has opted out of Medicare through August 8, 2026. 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.

What insurance does Mitchell Stark accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Mitchell Stark 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 Mitchell Stark 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.