JOHN E DEFINNIS DDS
NPI 1962582312
Dentist - General Practice in Berwick, PA

Active since October 17, 2006Opted out of Medicare · through May 6, 2027
105 W 9TH ST, BERWICK, PA 18603(570) 752-4542(570) 752-6806 Get Directions Write a Review

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

About John E Definnis Dds NPPES

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

JOHN E DEFINNIS DDS (NPI 1962582312) is an individual general practice provider in Berwick, Pennsylvania, licensed in Pennsylvania (DS016665L) and active in the NPI registry since October 2006. He has opted out of Medicare through May 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962582312
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN E DEFINNISCredential: DDS
Location Address105 W 9TH STBerwick, PA 18603-3024
Mailing Address1207 Fowler AveBerwick, PA 18603-2307 · (570) 759-0122 · Fax (570) 752-6806
Fax(570) 752-6806
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1962582312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DS016665L
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
105 W 9TH ST, Berwick, PA 18603

Other Identifiers 2

Other099097PA · United Concordia
Medicaid0005214650001PA

Accepted 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

John E Definnis Dds 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 May 6, 2015 through May 6, 2027.

Opt-Out Effective DateMay 6, 2015
Opt-Out In Effect ThroughMay 6, 2027Opt-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 18603 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 6

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

Dentist (General Practice)
105 W 9TH ST
BERWICK, PA 18603
Dentist (General Practice)
105 W 9TH ST
BERWICK, PA 18603
Dentist (General Practice)
105 W 9TH ST
BERWICK, PA 18603
Dentist (General Practice)
105 W 9TH ST
BERWICK, PA 18603
Dentist (General Practice)
105 W 9TH ST
BERWICK, PA 18603
Dentist (General Practice)
105 W 9TH ST
BERWICK, PA 18603

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 John Definnis's NPI number?

The NPI number for John Definnis is 1962582312. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is John Definnis located?

John Definnis practices at 105 W 9th St, Berwick, PA 18603. The listed phone number is (570) 752-4542.

What is John Definnis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Definnis enrolled in Medicare?

No. John Definnis has opted out of Medicare through May 6, 2027. 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 John Definnis 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 Florida Combined Life and 1 other insurer list John Definnis 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 John Definnis 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.