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DR. DWIGHT E. MCLEOD D.D.S. M.S.
NPI 1063610392
Dentist - Periodontics in Mexico, MO

Active since July 09, 2007PECOS Enrolled
340 KELLEY PKWY, MEXICO, MO 65265(573) 582-1234(573) 582-1212 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Dwight E. Mcleod D.d.s. M.s. NPPES

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

DR. DWIGHT E. MCLEOD D.D.S. M.S. (NPI 1063610392) is an individual periodontics provider in Mexico, Missouri, licensed in Missouri (015787) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Howard University College Of Dentistry (1990).

NPPES Registry Identity

NPI1063610392
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DWIGHT E. MCLEODCredential: D.D.S. M.S.
Location Address340 KELLEY PKWYMexico, MO 65265-3811
Mailing Address340 Kelley PkwyMexico, MO 65265-3811 · (573) 582-1234 · Fax (573) 582-1212
Phone(573) 582-1234
Fax(573) 582-1212
Sole ProprietorNo
Medical School CMSHoward University College Of DentistryGraduated 1990
Enumeration DateJuly 9, 2007
Last NPPES UpdateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1063610392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MO · 015787
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
340 KELLEY PKWY, Mexico, MO 65265
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11225 Aguilar DrMontgomery City, MO 63361-2723 · Phone (573) 582-1234 · Fax (573) 582-1212
Location 25992 Howdershell Rd, Ste. 204Hazelwood, MO 63042-4107 · Phone (314) 731-1700 · Fax (314) 731-1784

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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)

Dr. Dwight E. Mcleod D.d.s. M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446725006
PECOS Enrollment IDI20260410002535
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 Dwight Mcleod reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Central Missouri Behavioral Health Services, Inc
4.7 mi
Mental Health (Including Community Mental Health Center)
340 KELLEY PARKWAY
Mexico, MO 65265
  • Reassigned Medicare billing, Missouri enrollment
  • 49 clinicians in this Medicare group
NPI 1144293549 (573) 582-1234

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 65265 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 20

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

KRISTEN ANN FISHBACK LCSW
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
MCKENZI KEA ROSS FNP
Nurse Practitioner (Family)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
PATRICIA ANN ERWIN LCSW
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC
Psychologist (Rehabilitation)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
CYNTHIA MAE MACKEY LCSW
Social Worker (Clinical)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
CATHERINE TERESA BROWNING APN
Nurse Practitioner (Psychiatric/Mental Health)
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234
AI-CHIEH LIN PHARMD
Pharmacist
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 567-5173
NANCY J BUNGE M.D.
Pediatrics
340 KELLEY PKWY
MEXICO, MO 65265
Audrain County (573) 582-1234

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 Dwight Mcleod's NPI number?

The NPI number for Dwight Mcleod is 1063610392. It was assigned to this individual provider in the NPPES registry on July 9, 2007.

Where is Dwight Mcleod located?

Dwight Mcleod practices at 340 Kelley Pkwy, Mexico, MO 65265. The listed phone number is (573) 582-1234.

What is Dwight Mcleod's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Dwight Mcleod enrolled in Medicare?

Yes. Dwight Mcleod is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dwight Mcleod's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dwight Mcleod reassigns Medicare benefits to East Central Missouri Behavioral Health Services, Inc (Mexico, MO). 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 Dwight Mcleod's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dwight Mcleod accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 8 other insurers list Dwight Mcleod 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 Dwight Mcleod was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.