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JOSEPH RICHARD DEATHERAGE DMD, MD
NPI 1003859117
Dentist - Oral and Maxillofacial Surgery in Bismarck, ND

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
1730 BURNT BOAT DR STE 300, BISMARCK, ND 58503(701) 258-7220(701) 222-2329 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joseph Richard Deatherage Dmd, Md NPPES

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

JOSEPH RICHARD DEATHERAGE DMD, MD (NPI 1003859117) is an individual oral and maxillofacial surgery provider in Bismarck, North Dakota, licensed in North Dakota (2069) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1992).

NPPES Registry Identity

NPI1003859117
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJOSEPH RICHARD DEATHERAGECredential: DMD, MD
Location Address1730 BURNT BOAT DR STE 300Bismarck, ND 58503-0886
Mailing Address1730 Burnt Boat Dr Ste 300Bismarck, ND 58503-0886 · (701) 258-7220 · Fax (701) 222-2329
Phone(701) 258-7220
Fax(701) 222-2329
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1992
Enumeration DateJune 14, 2006
Last NPPES UpdateMay 1, 2019
✔ NPI 1003859117 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 ND · 2069
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.
1730 BURNT BOAT DR STE 300, Bismarck, ND 58503
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Other Identifiers 2

Medicaid41524ND
Other2069ND · Dental License

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Richard Deatherage Dmd, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395764278
PECOS Enrollment IDI20100511001065
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58503 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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 Joseph Deatherage's NPI number?

The NPI number for Joseph Deatherage is 1003859117. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Joseph Deatherage located?

Joseph Deatherage practices at 1730 Burnt Boat Dr Ste 300, Bismarck, ND 58503. The listed phone number is (701) 258-7220.

What is Joseph Deatherage's specialty?

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

Is Joseph Deatherage enrolled in Medicare?

Yes. Joseph Deatherage is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Deatherage accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Joseph Deatherage 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 Joseph Deatherage was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.