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DR. JAY ANDREW JOHNSON D.D.S.
NPI 1932259686
Dentist - Oral and Maxillofacial Surgery in Cocoa, FL

Active since January 12, 2007Opted out of Medicare · through Oct 1, 2028
96 WILLARD ST, SUITE 105, COCOA, FL 32922(321) 631-7000(321) 631-5135 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jay Andrew Johnson D.d.s. NPPES

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

DR. JAY ANDREW JOHNSON D.D.S. (NPI 1932259686) is an individual oral and maxillofacial surgery provider in Cocoa, Florida, licensed in Florida (13757) and active in the NPI registry since January 2007. He has opted out of Medicare through October 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932259686
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JAY ANDREW JOHNSONCredential: D.D.S.
Location Address96 WILLARD ST, SUITE 105Cocoa, FL 32922-7991
Mailing Address96 Willard St, Suite 105Cocoa, FL 32922-7991 · (321) 631-7000 · Fax (321) 631-5135
Phone(321) 631-7000
Fax(321) 631-5135
Sole ProprietorNo
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932259686 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 FL · 13757
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.
96 WILLARD ST, Cocoa, FL 32922
Open in Google Maps ↗

Other Identifiers 2

Other59-3284820FL · Ein
Medicare ID-Type Unspecified64671FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jay Andrew Johnson D.d.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 October 1, 2026 through October 1, 2028.

Opt-Out Effective DateOctober 1, 2026
Opt-Out In Effect ThroughOctober 1, 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 32922 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 9

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

DR. GERALD WILLIAM BIRD D.D.S.
Dentist (Oral and Maxillofacial Surgery)
96 WILLARD ST, SUITE 105
COCOA, FL 32922
Brevard County (321) 631-7000
DR. THOMAS J LUNSTRUM D.M.D.
Dentist (General Practice)
96 WILLARD ST, SUITE 102
COCOA, FL 32922
Brevard County (321) 631-1492
MRS. GAYNA PATRICIA HANSEN M.A
Counselor (Mental Health)
96 WILLARD ST, 1127 S.PATRICK DR; SATELLITE BEACH, FL 32937
COCOA, FL 32922
Brevard County (321) 638-0027
DR. JOEL D SHUY PSY.D
Psychologist (Clinical)
96 WILLARD ST, SUITE 306
COCOA, FL 32922
Brevard County (321) 638-0027
DR. ANNAPURNA SRIDHER DESHPANDE BDS, DMD
Dentist (Endodontics)
96 WILLARD ST, SUITE 103
COCOA, FL 32922
Brevard County (321) 208-7979
GERALD W. BIRD, D.D.S., P.A.
Dentist (Oral and Maxillofacial Surgery)
96 WILLARD ST, SUITE 105
COCOA, FL 32922
Brevard County (321) 631-7000
DR. JANET L HELFAND PH.D.
Psychologist
96 WILLARD ST, SUITE 306
COCOA, FL 32922
Brevard County (321) 638-0027
DR.ANU DESHPANDE BDS DMD MS PA
Dentist (Endodontics)
96 WILLARD ST, SUITE 103
COCOA, FL 32922
Brevard County (321) 208-7979

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 Jay Johnson's NPI number?

The NPI number for Jay Johnson is 1932259686. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Jay Johnson located?

Jay Johnson practices at 96 Willard St Suite 105, Cocoa, FL 32922. The listed phone number is (321) 631-7000.

What is Jay Johnson's specialty?

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

Is Jay Johnson enrolled in Medicare?

No. Jay Johnson has opted out of Medicare through October 1, 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.

When was this NPI record last updated?

The NPPES record for Jay Johnson 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.