DR. BROCK D. EVANS DMD
NPI 1073785010
Dentist - Oral and Maxillofacial Surgery in Maryville, TN

Q: What is Brock Evans's NPI number?

The NPI number for Brock Evans is 1073785010. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Q: What is Brock Evans's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brock Evans was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 31, 2008PECOS EnrolledAccepts Medicare Assignment

1505 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804(865) 983-8630(865) 981-4914 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Brock D. Evans Dmd NPPES

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

DR. BROCK D. EVANS DMD (NPI 1073785010) is an individual oral and maxillofacial surgery provider in Maryville, Tennessee, licensed in Tennessee (DS8807) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2008).

NPPES Registry Identity

NPI1073785010

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. BROCK D. EVANSCredential: DMD

Location Address1505 E LAMAR ALEXANDER PKWYMaryville, TN 37804-5131

Mailing Address1505 E Lamar Alexander PkwyMaryville, TN 37804-5131 · (865) 983-8630 · Fax (865) 981-4914

Phone(865) 983-8630

Fax(865) 981-4914

Sole ProprietorNo

Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2008

Enumeration DateMarch 31, 2008

Last NPPES UpdateAugust 10, 2012

✔ NPI 1073785010 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 TN · DS8807

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.

1505 E LAMAR ALEXANDER PKWY, Maryville, TN 37804

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Other Identifiers 3

Medicare PIN3200008TN

Other8807TN · License

Medicaid5442224TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

Dr. Brock D. Evans Dmd 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 ID3476624586

PECOS Enrollment IDI20080617000773

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 5

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

TROY A TRONDSON DDS, MD

Dentist (Oral and Maxillofacial Surgery)