DR. JEFFERY BRYAN WHEATON DDS MD
NPI 1104930288
Dentist - Oral and Maxillofacial Surgery in Albuquerque, NM

Q: What is Jeffery Wheaton's NPI number?

The NPI number for Jeffery Wheaton is 1104930288. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Jeffery Wheaton's specialty?

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

Q: Is Jeffery Wheaton enrolled in Medicare?

No. Jeffery Wheaton has opted out of Medicare through August 10, 2027. 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.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Wheaton 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.

Active since August 18, 2006Opted out of Medicare · through Aug 10, 2027

1628 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114(505) 899-6979(505) 899-6980 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jeffery Bryan Wheaton Dds Md NPPES

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

DR. JEFFERY BRYAN WHEATON DDS MD (NPI 1104930288) is an individual oral and maxillofacial surgery provider in Albuquerque, New Mexico, licensed in New Mexico (DDS 2052) and active in the NPI registry since August 2006. He has opted out of Medicare through August 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104930288

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JEFFERY BRYAN WHEATONCredential: DDS MD

Location Address1628 ALAMEDA BLVD NWAlbuquerque, NM 87114

Mailing Address1628 Alameda Blvd NwAlbuquerque, NM 87114 · (505) 899-6979 · Fax (505) 899-6980

Phone(505) 899-6979

Fax(505) 899-6980

Sole ProprietorNo

Enumeration DateAugust 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104930288 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 NM · DDS 2052

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.

1628 ALAMEDA BLVD NW, Albuquerque, NM 87114

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Other Identifiers 2

MedicaidG5543NM

Medicare UPINU83481

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Jeffery Bryan Wheaton Dds Md 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 August 10, 2011 through August 10, 2027.

Opt-Out Effective DateAugust 10, 2011

Opt-Out In Effect ThroughAugust 10, 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 87114 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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.

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.

WESTSIDE ORAL SURGERY, PC

Clinic/Center (Oral and Maxillofacial Surgery)