DR. MARK R OMLIE D.D.S.-M.D.
NPI 1942272489
Dentist - Oral and Maxillofacial Surgery in Edina, MN

Q: What is Mark Omlie's NPI number?

The NPI number for Mark Omlie is 1942272489. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Q: What is Mark Omlie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Omlie was last updated on February 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 07, 2006PECOS Enrolled

7373 FRANCE AVE S, SUITE 602, EDINA, MN 55435(952) 835-5003(952) 835-9598 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Mark R Omlie D.d.s.-m.d. NPPES

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

DR. MARK R OMLIE D.D.S.-M.D. (NPI 1942272489) is an individual oral and maxillofacial surgery provider in Edina, Minnesota, licensed in Minnesota (DO8081) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942272489

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. MARK R OMLIECredential: D.D.S.-M.D.

Location Address7373 FRANCE AVE S, SUITE 602Edina, MN 55435-4534

Mailing Address7373 France Ave S, Suite 602Edina, MN 55435-4534 · (952) 835-5003

Phone(952) 835-5003

Fax(952) 835-9598

Sole ProprietorNo

Enumeration DateFebruary 7, 2006

Last NPPES UpdateFebruary 6, 2014

✔ NPI 1942272489 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 MN · DO8081

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.

7373 FRANCE AVE S, Edina, MN 55435

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Other Identifiers 4

Medicare UPINT39576MN

Other130740MMN · Bcbs Number

Medicare ID-Type Unspecified190000101MN

Other86-14849MN · Medica Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark R Omlie D.d.s.-m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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