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DR. ROGER M GERSHON D.D.S.
NPI 1992989271
Dentist - General Practice in New York, NY

Active since December 22, 2007Opted out of Medicare · through Dec 29, 2027
871 5TH AVE, NEW YORK, NY 10065(212) 249-9523(212) 650-9599 Get Directions Write a Review

NPPES record last updated: December 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roger M Gershon D.d.s. NPPES

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

DR. ROGER M GERSHON D.D.S. (NPI 1992989271) is an individual general practice provider in New York, New York, licensed in New York (029058) and active in the NPI registry since December 2007. He has opted out of Medicare through December 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992989271
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROGER M GERSHONCredential: D.D.S.
Location Address871 5TH AVENew York, NY 10065-4953
Mailing Address871 5th AveNew York, NY 10065-4953 · (212) 249-9523 · Fax (212) 650-9599
Phone(212) 249-9523
Fax(212) 650-9599
Sole ProprietorYes
Enumeration DateDecember 22, 2007
✔ NPI 1992989271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 029058
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.
871 5TH AVE, New York, NY 10065
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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. Roger M Gershon 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 December 29, 2015 through December 29, 2027.

Opt-Out Effective DateDecember 29, 2015
Opt-Out In Effect ThroughDecember 29, 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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Roger Gershon's NPI number?

The NPI number for Roger Gershon is 1992989271. It was assigned to this individual provider in the NPPES registry on December 22, 2007.

Where is Roger Gershon located?

Roger Gershon practices at 871 5th Ave, New York, NY 10065. The listed phone number is (212) 249-9523.

What is Roger Gershon's specialty?

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

Is Roger Gershon enrolled in Medicare?

No. Roger Gershon has opted out of Medicare through December 29, 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.

When was this NPI record last updated?

The NPPES record for Roger Gershon was last updated on December 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.