SAM REISER CARUSO DMD
NPI 1922627256
Dentist - Oral and Maxillofacial Surgery in Woodstock, GA

Q: What is Sam Caruso's NPI number?

The NPI number for Sam Caruso is 1922627256. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Q: What is Sam Caruso's specialty?

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

Q: Is Sam Caruso enrolled in Medicare?

No. Sam Caruso has opted out of Medicare through November 5, 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.

Q: When was this NPI record last updated?

The NPPES record for Sam Caruso was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since April 16, 2020Opted out of Medicare · through Nov 5, 2026

2230 TOWNE LAKE PKWY, BLDG 1000, STE 110, WOODSTOCK, GA 30189(770) 672-5629 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2026, Jul 1, 2024, Jun 4, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Sam Reiser Caruso Dmd NPPES

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

SAM REISER CARUSO DMD (NPI 1922627256) is an individual oral and maxillofacial surgery provider in Woodstock, Georgia, licensed in Georgia (DN123254) and active in the NPI registry since April 2020. He has opted out of Medicare through November 5, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922627256

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameSAM REISER CARUSOCredential: DMD

Location Address2230 TOWNE LAKE PKWY, BLDG 1000, STE 110Woodstock, GA 30189

Mailing Address85 Golf Crest Dr Ste 209Acworth, GA 30101-2698 · (770) 672-5629

Phone(770) 672-5629

Sole ProprietorNo

Enumeration DateApril 16, 2020

Last NPPES UpdateApril 20, 20264 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1922627256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in GA · DN123254

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License DRP2199 (FL)

2230 TOWNE LAKE PKWY, Woodstock, GA 30189

Open in Google Maps ↗

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

Sam Reiser Caruso Dmd 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 November 5, 2024 through November 5, 2026.

Opt-Out Effective DateNovember 5, 2024

Opt-Out In Effect ThroughNovember 5, 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 30189 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

Leave this field empty

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. ROMUALDA S KLICIUS MD

Pediatrics

2230 TOWNE LAKE PKWY, BUILDING 300, SUITE 100
WOODSTOCK, GA 30189

Cherokee County (770) 517-1900

SLEEP CENTERS OF AMERICA, INC.

Clinic/Center (Sleep Disorder Diagnostic)

2230 TOWNE LAKE PKWY, BLDG. 100 SUITE 130
WOODSTOCK, GA 30189

Cherokee County (678) 858-5997

BRIDGEVIEW WELLNESS CENTER

Counselor (Professional)

2230 TOWNE LAKE PKWY, BLDG 200 STE 110
WOODSTOCK, GA 30189

Cherokee County (678) 403-2346

TISHA ROSS DDS

Dentist (Pediatric Dentistry)

2230 TOWNE LAKE PKWY, BLDG 1300 STE 100
WOODSTOCK, GA 30189

Cherokee County (678) 445-5444

VINCENT MICHAEL MAGLIOCCO O.D.

Optometrist

2230 TOWNE LAKE PKWY, BUILDING 700 SUITE 100
WOODSTOCK, GA 30189

Cherokee County (770) 591-3511

DR. MICHELLE A LEROY-LAWRENCE D.C.

Chiropractor (Nutrition)

2230 TOWNE LAKE PKWY, BUILDING 100 SUITE 140
WOODSTOCK, GA 30189

Cherokee County (770) 591-9153

TINGLEY FAMILY CHIROPRACTIC, LLC

Chiropractor

2230 TOWNE LAKE PKWY, BLDG. 700 SUITE 120
WOODSTOCK, GA 30189

Cherokee County (770) 517-2070

NEW WAYS PAIN MANAGEMENT

Radiology (Diagnostic Radiology)

2230 TOWNE LAKE PKWY, BLDG, NO. 900, SUITE 250 & 150
WOODSTOCK, GA 30189

Cherokee County (404) 556-9222

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 Sam Caruso's NPI number?

The NPI number for Sam Caruso is 1922627256. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Sam Caruso located?

Sam Caruso practices at 2230 Towne Lake Pkwy Bldg 1000, Ste 110, Woodstock, GA 30189. The listed phone number is (770) 672-5629.

What is Sam Caruso's specialty?

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

Is Sam Caruso enrolled in Medicare?

No. Sam Caruso has opted out of Medicare through November 5, 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 Sam Caruso 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 4 other insurers list Sam Caruso 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 Sam Caruso was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.