DR. JASON D BARLOCK
NPI 1093854481
Dentist - Orthodontics and Dentofacial Orthopedics in Fort Myers, FL

Active since February 05, 2007Opted out of Medicare · through Apr 27, 2027
8595 COLLEGE PKWY, SUITE B-5, FORT MYERS, FL 33919(239) 433-0921 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason D Barlock NPPES

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

DR. JASON D BARLOCK (NPI 1093854481) is an individual orthodontics and dentofacial orthopedics provider in Fort Myers, Florida, licensed in Florida (DN15803) and active in the NPI registry since February 2007. He has opted out of Medicare through April 27, 2027.

NPPES Registry Identity

NPI1093854481
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JASON D BARLOCK
Location Address8595 COLLEGE PKWY, SUITE B-5Fort Myers, FL 33919-5191
Mailing Address15241 Cortona WayNaples, FL 34120-0673 · (239) 776-4633
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1093854481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in FL · DN15803
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
8595 COLLEGE PKWY, Fort Myers, FL 33919

Accepted Insurance

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. Jason D Barlock 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 April 27, 2017 through April 27, 2027.

Opt-Out Effective DateApril 27, 2017
Opt-Out In Effect ThroughApril 27, 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 33919 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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 18

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

Massage Therapist
8595 COLLEGE PKWY, UNIT A2
FORT MYERS, FL 33919
Chiropractor
8595 COLLEGE PKWY, #110
FORT MYERS, FL 33919
Nurse Practitioner (Family)
8595 COLLEGE PKWY, SUITE 250
FORT MYERS, FL 33919
Non-Pharmacy Dispensing Site
8595 COLLEGE PKWY, #110
FORT MYERS, FL 33919
Contractor
8595 COLLEGE PKWY, SUITE 110
FORT MYERS, FL 33919
Non-Pharmacy Dispensing Site
8595 COLLEGE PKWY, #110
FORT MYERS, FL 33919
Home Health
8595 COLLEGE PKWY, SUITE 350
FORT MYERS, FL 33919
General Practice
8595 COLLEGE PKWY, SUITE A2
FORT MYERS, FL 33919

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 Jason Barlock's NPI number?

The NPI number for Jason Barlock is 1093854481. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Jason Barlock located?

Jason Barlock practices at 8595 College Pkwy Suite B-5, Fort Myers, FL 33919. The listed phone number is (239) 433-0921.

What is Jason Barlock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Jason Barlock enrolled in Medicare?

No. Jason Barlock has opted out of Medicare through April 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jason Barlock accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Jason Barlock 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 Jason Barlock 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.