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DR. JONATHAN LESLIE CZEREPAK DMD
NPI 1861740722
Dentist in Fort, NC

Active since August 27, 2012PECOS EnrolledAccepts Medicare Assignment
2716 RIELLY ROAD, FORT, NC 28310(910) 643-2196(910) 396-7017 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jonathan Leslie Czerepak Dmd NPPES

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

DR. JONATHAN LESLIE CZEREPAK DMD (NPI 1861740722) is an individual dentist in Fort, North Carolina, licensed in Massachusetts (DN1856104) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Dental Medicine (2012).

NPPES Registry Identity

NPI1861740722
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JONATHAN LESLIE CZEREPAKCredential: DMD
Location Address2716 RIELLY ROADFort, NC 28310-7302
Mailing Address226 Bainbridge DrEvans, GA 30809-7302 · (603) 491-2050
Phone(910) 643-2196
Fax(910) 396-7017
Sole ProprietorNo
Medical School CMSTufts University School Of Dental MedicineGraduated 2012
Enumeration DateAugust 27, 2012
Last NPPES UpdateAugust 22, 2017
✔ NPI 1861740722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DN1856104
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN1856104 (MA)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DN1856104 (MA)
2716 RIELLY ROAD, Fort, NC 28310
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, 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

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Leslie Czerepak Dmd 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 ID6709295520
PECOS Enrollment IDI20210507001383
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 CMS Medicare utilization data. 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.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28310 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Jonathan Czerepak's NPI number?

The NPI number for Jonathan Czerepak is 1861740722. It was assigned to this individual provider in the NPPES registry on August 27, 2012.

Where is Jonathan Czerepak located?

Jonathan Czerepak practices at 2716 Rielly Road, Fort, NC 28310. The listed phone number is (910) 643-2196.

What is Jonathan Czerepak's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jonathan Czerepak enrolled in Medicare?

Yes. Jonathan Czerepak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jonathan Czerepak accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jonathan Czerepak 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 Jonathan Czerepak was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.