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DR. MICHAEL JORDAN FETNER D.M.D., M.S.
NPI 1871895680
Dentist - Periodontics in Jacksonville, FL

Active since November 30, 2010Opted out of Medicare · through Mar 11, 2028
7043 SOUTHPOINT PKWY S STE B, JACKSONVILLE, FL 32216(904) 296-8343 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Jordan Fetner D.m.d., M.s. NPPES

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

DR. MICHAEL JORDAN FETNER D.M.D., M.S. (NPI 1871895680) is an individual periodontics provider in Jacksonville, Florida, licensed in Florida (DN19049) and active in the NPI registry since November 2010. He has opted out of Medicare through March 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871895680
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MICHAEL JORDAN FETNERCredential: D.M.D., M.S.
Location Address7043 SOUTHPOINT PKWY S STE BJacksonville, FL 32216-8742
Mailing Address7043 Southpoint Pkwy S Ste BJacksonville, FL 32216-8742 · (904) 296-8343
Phone(904) 296-8343
Sole ProprietorYes
Enumeration DateNovember 30, 2010
Last NPPES UpdateJune 23, 2016
✔ NPI 1871895680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN19049
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
7043 SOUTHPOINT PKWY S STE B, Jacksonville, FL 32216
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Michael Jordan Fetner D.m.d., M.s. 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 March 11, 2014 through March 11, 2028.

Opt-Out Effective DateMarch 11, 2014
Opt-Out In Effect ThroughMarch 11, 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 32216 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

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

DR. ALEXANDER J FETNER D.M.D.
Dentist (Periodontics)
7043 SOUTHPOINT PKWY S STE B
JACKSONVILLE, FL 32216
Duval County (904) 296-8343

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 Michael Fetner's NPI number?

The NPI number for Michael Fetner is 1871895680. It was assigned to this individual provider in the NPPES registry on November 30, 2010.

Where is Michael Fetner located?

Michael Fetner practices at 7043 Southpoint Pkwy S Ste B, Jacksonville, FL 32216. The listed phone number is (904) 296-8343.

What is Michael Fetner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Michael Fetner enrolled in Medicare?

No. Michael Fetner has opted out of Medicare through March 11, 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.

What insurance does Michael Fetner accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 1 other insurer list Michael Fetner 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 Michael Fetner was last updated on June 23, 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.