DR. JONATHAN LESLIE CZEREPAK (DMD) – Dentist, NPI 1861740722
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
48 ORAL SURGERY in NC
Provider Addresses for DR. JONATHAN LESLIE CZEREPAK (DMD)
226 BAINBRIDGE DR
EVANS, GA 308097302
Phone: (603) 491-2050
Type: Mailing
2716 RIELLY ROAD
FORT, NC 283107302
Phone: (910) 643-2196
Fax: (910) 396-7017
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $1,013.
Total Amount is formed as General ($1,013) + Research ($0) + Ownership ($0) = $1,013.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ZIMVIE INC. ($785).
Total Amount
$1,013
General + Research + Ownership
Payments
29
Total payment records
General Amount
$1,013
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $785 |
| Keystone Dental Inc. | $228 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-05-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210507001383 | I | Oral Surgery | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 54 | 54 | $0 |
| 40490 | Biopsy of lip | 11 | 11 | $0 |
Insurance plans in this area (ZIP 30809)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery | MA | |
| - | MA |
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