DR. JEREMY WADE CULL D.D.S.
NPI 1104021476
Dentist - Oral and Maxillofacial Surgery in Casa Grande, AZ

Q: What is Jeremy Cull's NPI number?

The NPI number for Jeremy Cull is 1104021476. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Q: What is Jeremy Cull's specialty?

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

Q: Is Jeremy Cull enrolled in Medicare?

No. Jeremy Cull has opted out of Medicare through February 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Cull was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 18, 2007Opted out of Medicare · through Feb 27, 2028

1876 E SABIN DRIVE SUITE #18, CASA GRANDE, AZ 85222(520) 876-5227(520) 876-4059 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jeremy Wade Cull D.d.s. NPPES

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

DR. JEREMY WADE CULL D.D.S. (NPI 1104021476) is an individual oral and maxillofacial surgery provider in Casa Grande, Arizona, licensed in Arizona (7170) and active in the NPI registry since June 2007. He has opted out of Medicare through February 27, 2028.

NPPES Registry Identity

NPI1104021476

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JEREMY WADE CULLCredential: D.D.S.

Location Address1876 E SABIN DRIVE SUITE #18Casa Grande, AZ 85222

Mailing Address1876 E Sabin Dr, Ste 6Casa Grande, AZ 85122-6197 · (520) 876-5227 · Fax (520) 423-3013

Phone(520) 876-5227

Fax(520) 876-4059

Sole ProprietorYes

Enumeration DateJune 18, 2007

Last NPPES UpdateNovember 4, 2019

✔ NPI 1104021476 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 AZ · 7170

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.

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

ⓘ

Opted out of Medicare

Dr. Jeremy Wade Cull D.d.s. 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 February 27, 2024 through February 27, 2028.

Opt-Out Effective DateFebruary 27, 2024

Opt-Out In Effect ThroughFebruary 27, 2028Opt-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 85222 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.

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 Jeremy Cull's NPI number?

The NPI number for Jeremy Cull is 1104021476. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Jeremy Cull located?

Jeremy Cull practices at 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222. The listed phone number is (520) 876-5227.

What is Jeremy Cull's specialty?

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

Is Jeremy Cull enrolled in Medicare?

No. Jeremy Cull has opted out of Medicare through February 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jeremy Cull 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 Jeremy Cull 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 Jeremy Cull was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.