DR. ALLEN WAYNE MORTIMER DDS
NPI 1972867851
Dentist - General Practice in Burton, MI

Q: What is Allen Mortimer's NPI number?

The NPI number for Allen Mortimer is 1972867851. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Q: What is Allen Mortimer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Allen Mortimer was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 26, 2012PECOS Enrolled

4495 S CENTER RD, BURTON, MI 48519(810) 743-5131(810) 743-1111 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Allen Wayne Mortimer Dds NPPES

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

DR. ALLEN WAYNE MORTIMER DDS (NPI 1972867851) is an individual general practice provider in Burton, Michigan, licensed in Michigan (2901020727) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972867851

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ALLEN WAYNE MORTIMERCredential: DDS

Location Address4495 S CENTER RDBurton, MI 48519-1417

Mailing Address4495 S Center RdBurton, MI 48519-1417 · (810) 743-5131 · Fax (810) 743-1111

Phone(810) 743-5131

Fax(810) 743-1111

Sole ProprietorNo

Enumeration DateJune 26, 2012

✔ NPI 1972867851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901020727

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.

4495 S CENTER RD, Burton, MI 48519

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Allen Wayne Mortimer Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Allen Mortimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mortimer Family Dentistry, PC

0.1 mi

General Practice

4495 S CENTER RD
Burton, MI 48519

Reassigned Medicare billing, Michigan enrollment
2 clinicians in this Medicare group

NPI 1417121732 (810) 743-5131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48519 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 2

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

MORTIMER FAMILY DENTISTRY, PC

Dentist (General Practice)

4495 S CENTER RD
BURTON, MI 48519

Genesee County (810) 743-5131

DR. SCOTT ALLEN MORTIMER D.D.S.

Dentist (General Practice)

4495 S CENTER RD
BURTON, MI 48519

Genesee County (810) 743-5131

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 Allen Mortimer's NPI number?

The NPI number for Allen Mortimer is 1972867851. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Allen Mortimer located?

Allen Mortimer practices at 4495 S Center Rd, Burton, MI 48519. The listed phone number is (810) 743-5131.

What is Allen Mortimer's specialty?

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

Is Allen Mortimer enrolled in Medicare?

Yes. Allen Mortimer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Allen Mortimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allen Mortimer reassigns Medicare benefits to Mortimer Family Dentistry, PC (Burton, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Allen Mortimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allen Mortimer accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Allen Mortimer 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 Allen Mortimer was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.