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SHARON THAO VI TU DMD
NPI 1013806900
Dentist - General Practice in Jackson, CA

Active since July 02, 2025PECOS Enrolled
12150 NEW YORK RANCH RD, JACKSON, CA 95642(209) 257-2460 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sharon Thao Vi Tu Dmd NPPES

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

SHARON THAO VI TU DMD (NPI 1013806900) is an individual general practice provider in Jackson, California, licensed in California (111736) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013806900
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSHARON THAO VI TUCredential: DMD
Location Address12150 NEW YORK RANCH RDJackson, CA 95642-9407
Mailing Address12150 New York Ranch RdJackson, CA 95642-9407
Phone(209) 257-2460
Sole ProprietorNo
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1013806900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 111736
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.
12150 NEW YORK RANCH RD, Jackson, CA 95642
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Accepted Insurance

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

Sharon Thao Vi Tu Dmd 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 Sharon Tu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

M A C T Health Board Incorporated
15 mi
Federally Qualified Health Center (FQHC)
1113 HIGHWAY 49
San Andreas, CA 95249
  • Reassigned Medicare billing, Texas enrollment
  • 41 clinicians in this Medicare group
NPI 1366519431 (209) 755-1400

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 95642 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 14

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

LYNN CHASTAIN
Dental Hygienist
12150 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2460
MING-JYE YANG D.D.S.
Dentist (General Practice)
12150 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (213) 999-3019
MICHELLE PIMENTEL RDH
Dental Hygienist
12150 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2460
FATIMA JACOBO
Dental Hygienist
12150 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2400
ELIZABETH GOMEZ
Dental Hygienist
12150 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2460
DR. NINA TECSON DDS
Dentist (General Practice)
12150 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2460
HILLARY A LITTLE RDH
Dental Hygienist
12150 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 754-6262
DR. JAMES WILLARD FRIER DDS
Dentist
12150 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2460

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 Sharon Tu's NPI number?

The NPI number for Sharon Tu is 1013806900. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Sharon Tu located?

Sharon Tu practices at 12150 New York Ranch Rd, Jackson, CA 95642. The listed phone number is (209) 257-2460.

What is Sharon Tu's specialty?

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

Is Sharon Tu enrolled in Medicare?

Yes. Sharon Tu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sharon Tu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Tu reassigns Medicare benefits to M A C T Health Board Incorporated (San Andreas, CA). 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 Sharon Tu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharon Tu accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Sharon Tu 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 Sharon Tu was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.