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DR. JACK BENJAMIN HARDY D.M.D.
NPI 1093951352
Dentist - Oral and Maxillofacial Surgery in Casper, WY

Active since December 16, 2008Opted out of Medicare · through Oct 12, 2026
4611 ARROYO DR, SUITE 1, CASPER, WY 82604(307) 235-1600 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Benjamin Hardy D.m.d. NPPES

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

DR. JACK BENJAMIN HARDY D.M.D. (NPI 1093951352) is an individual oral and maxillofacial surgery provider in Casper, Wyoming, licensed in Wyoming (WY1265) and active in the NPI registry since December 2008. He has opted out of Medicare through October 12, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093951352
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JACK BENJAMIN HARDYCredential: D.M.D.
Location Address4611 ARROYO DR, SUITE 1Casper, WY 82604-5116
Mailing Address4611 Arroyo Dr, Suite 1Casper, WY 82604-5116 · (307) 235-1600
Phone(307) 235-1600
Sole ProprietorNo
Enumeration DateDecember 16, 2008
Last NPPES UpdateDecember 7, 2015
✔ NPI 1093951352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WY · WY1265
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 57754 (CA)
4611 ARROYO DR, Casper, WY 82604
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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. Jack Benjamin Hardy D.m.d. 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 October 12, 2016 through October 12, 2026.

Opt-Out Effective DateOctober 12, 2016
Opt-Out In Effect ThroughOctober 12, 2026Opt-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 82604 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

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 Jack Hardy's NPI number?

The NPI number for Jack Hardy is 1093951352. It was assigned to this individual provider in the NPPES registry on December 16, 2008.

Where is Jack Hardy located?

Jack Hardy practices at 4611 Arroyo Dr Suite 1, Casper, WY 82604. The listed phone number is (307) 235-1600.

What is Jack Hardy's specialty?

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

Is Jack Hardy enrolled in Medicare?

No. Jack Hardy has opted out of Medicare through October 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jack Hardy was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.