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DR. CLINTON WILKINSON EVANS M.D., D.M.D.
NPI 1093799009
Dentist - Oral and Maxillofacial Surgery in Dothan, AL

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
216 HEALTHWEST DR, DOTHAN, AL 36303(334) 792-1158(334) 702-6983 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Clinton Wilkinson Evans M.d., D.m.d. NPPES

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

DR. CLINTON WILKINSON EVANS M.D., D.M.D. (NPI 1093799009) is an individual oral and maxillofacial surgery provider in Dothan, Alabama, licensed in Alabama (4563) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Dentistry (1998).

NPPES Registry Identity

NPI1093799009
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CLINTON WILKINSON EVANSCredential: M.D., D.M.D.
Location Address216 HEALTHWEST DRDothan, AL 36303-1942
Mailing Address35 Hampton WayDothan, AL 36305-6319 · (334) 792-1158 · Fax (334) 702-6983
Phone(334) 792-1158
Fax(334) 702-6983
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of DentistryGraduated 1998
Enumeration DateDecember 2, 2005
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1093799009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in AL · 4563✔ Licensed in AL · 22785
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.
216 HEALTHWEST DR, Dothan, AL 36303
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Other Identifiers 6

Medicare UPINH16850AL
Medicare ID-Type Unspecified000095652AL
Other766464AL · United Concordia
Other51095652AL · Bcbsal Dothan Office
Other51097740AL · Bcbsal Enterprise Office
Medicaid000095652AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee 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 and accepts Medicare assignment

Dr. Clinton Wilkinson Evans M.d., D.m.d. 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 ID4789657511
PECOS Enrollment IDI20111103000298
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 Reassignments

2

Medicare enrollment records show Clinton Evans reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeastern Oral-Maxillofacial And Cosmetic Surgery Center
Same address
Oral and Maxillofacial Surgery
216 HEALTHWEST DR
Dothan, AL 36303
  • Reassigned Medicare billing, Alabama enrollment
  • 3 clinicians in this Medicare group
NPI 1275755860 (334) 792-2880
Southeastern-Oms, LLC
Same address
Oral and Maxillofacial Surgery
216 HEALTHWEST DR
Dothan, AL 36303
  • Reassigned Medicare billing, Alabama enrollment
  • 3 clinicians in this Medicare group
NPI 1609615871 (334) 792-2880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
14 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36303 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

SOUTHEASTERN ORAL-MAXILLOFACIAL AND COSMETIC SURGERY CENTER
Dentist (Oral and Maxillofacial Surgery)
216 HEALTHWEST DR
DOTHAN, AL 36303
Houston County (334) 792-2880
DAVID SCOTT FALCONER D.D.S.
Oral & Maxillofacial Surgery
216 HEALTHWEST DR
DOTHAN, AL 36303
Houston County (334) 792-2880
DR. BURIS PARKER DAVIS, JR. D.M.D.
Dentist (Oral and Maxillofacial Surgery)
216 HEALTHWEST DR
DOTHAN, AL 36303
Houston County (334) 792-2880
DR. GREGORY CHARLES BESS M.D., D.M.D.
Dentist (Oral and Maxillofacial Surgery)
216 HEALTHWEST DR
DOTHAN, AL 36303
Houston County (334) 792-2880
SOUTHEASTERN-OMS, LLC
Dentist (Oral and Maxillofacial Surgery)
216 HEALTHWEST DR
DOTHAN, AL 36303
Houston County (334) 792-2880

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 Clinton Evans's NPI number?

The NPI number for Clinton Evans is 1093799009. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Clinton Evans located?

Clinton Evans practices at 216 Healthwest Dr, Dothan, AL 36303. The listed phone number is (334) 792-1158.

What is Clinton Evans's specialty?

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

Is Clinton Evans enrolled in Medicare?

Yes. Clinton Evans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Clinton Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Evans reassigns Medicare benefits to 2 organizations: Southeastern Oral-Maxillofacial And Cosmetic Surgery Center (Dothan, AL) and Southeastern-Oms, LLC (Dothan, AL). Each 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 Clinton Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clinton Evans accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, BEST Life and Blue Cross and Blue Shield of Alabama and 12 other insurers list Clinton Evans 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 Clinton Evans was last updated on September 18, 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.