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DR. FREDERIC G. SPERRY D.D.S.
NPI 1023164746
Dentist - General Practice in Omaha, TX

Active since January 26, 2007Opted out of Medicare · through Nov 13, 2027
607 RAY JACOBS DR., OMAHA, TX 75571(903) 884-2321(903) 884-3373 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Frederic G. Sperry D.d.s. NPPES

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

DR. FREDERIC G. SPERRY D.D.S. (NPI 1023164746) is an individual general practice provider in Omaha, Texas, licensed in Texas (12156) and active in the NPI registry since January 2007. He has opted out of Medicare through November 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023164746
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. FREDERIC G. SPERRYCredential: D.D.S.
Location Address607 RAY JACOBS DR.Omaha, TX 75571-0000
Mailing AddressPo Box 1094Omaha, TX 75571-1094 · (903) 884-2321 · Fax (903) 884-3373
Phone(903) 884-2321
Fax(903) 884-3373
Sole ProprietorYes
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023164746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 12156
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.
607 RAY JACOBS DR., Omaha, TX 75571
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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. Frederic G. Sperry 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 November 13, 2015 through November 13, 2027.

Opt-Out Effective DateNovember 13, 2015
Opt-Out In Effect ThroughNovember 13, 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 75571 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 Frederic Sperry's NPI number?

The NPI number for Frederic Sperry is 1023164746. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Frederic Sperry located?

Frederic Sperry practices at 607 Ray Jacobs Dr., Omaha, TX 75571. The listed phone number is (903) 884-2321.

What is Frederic Sperry's specialty?

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

Is Frederic Sperry enrolled in Medicare?

No. Frederic Sperry has opted out of Medicare through November 13, 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 Frederic Sperry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.