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DR. JEFFREY STANDAGE D.M.D.
NPI 1093167041
Dentist in Peridot, AZ

Active since July 01, 2016PECOS Enrolled
104 MEDICINE WAY, PERIDOT, AZ 85542(928) 475-1480 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2016, Jul 1, 2016 (2 updates tracked since 2016).

About Dr. Jeffrey Standage D.m.d. NPPES

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

DR. JEFFREY STANDAGE D.M.D. (NPI 1093167041) is an individual dentist in Peridot, Arizona, licensed in Arizona (D009457) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093167041
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEFFREY STANDAGECredential: D.M.D.
Location Address104 MEDICINE WAYPeridot, AZ 85542-0000
Mailing Address104 Medicine WayPeridot, AZ 85542-0000 · (928) 475-1480
Phone(928) 475-1480
Sole ProprietorNo
Enumeration DateJuly 1, 2016
Last NPPES UpdateOctober 21, 20162 updates tracked since enumeration
✔ NPI 1093167041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D009457
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
104 MEDICINE WAY, Peridot, AZ 85542
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life 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 (PECOS)

Dr. Jeffrey Standage D.m.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85542 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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

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

DR. ACEY NIXON D.M.D.
Dentist
104 MEDICINE WAY
PERIDOT, AZ 85542
Gila County (928) 475-1480

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 Jeffrey Standage's NPI number?

The NPI number for Jeffrey Standage is 1093167041. It was assigned to this individual provider in the NPPES registry on July 1, 2016.

Where is Jeffrey Standage located?

Jeffrey Standage practices at 104 Medicine Way, Peridot, AZ 85542. The listed phone number is (928) 475-1480.

What is Jeffrey Standage's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jeffrey Standage enrolled in Medicare?

Yes. Jeffrey Standage is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Standage accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 9 other insurers list Jeffrey Standage 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 Jeffrey Standage was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.