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DR. KENT BREEDLOVE MACAULAY DDS
NPI 1124137930
Dentist in Georgetown, TX

Active since August 29, 2006Opted out of Medicare · through Jul 29, 2027
3737 WILLIAMS DRIVE, GEORGETOWN, TX 78628(512) 930-1233(512) 868-2102 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kent Breedlove Macaulay Dds NPPES

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

DR. KENT BREEDLOVE MACAULAY DDS (NPI 1124137930) is an individual dentist in Georgetown, Texas, licensed in Texas (10612) and active in the NPI registry since August 2006. He has opted out of Medicare through July 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124137930
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KENT BREEDLOVE MACAULAYCredential: DDS
Location Address3737 WILLIAMS DRIVEGeorgetown, TX 78628
Mailing Address602 E Liberty AveRound Rock, TX 78664 · (512) 255-5126
Phone(512) 930-1233
Fax(512) 868-2102
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124137930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 10612
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3737 WILLIAMS DRIVE, Georgetown, TX 78628
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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. Kent Breedlove Macaulay Dds 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 July 29, 2015 through July 29, 2027.

Opt-Out Effective DateJuly 29, 2015
Opt-Out In Effect ThroughJuly 29, 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 78628 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 2

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

DR. PAUL EDWARD STUBBS DDS
Dentist (General Practice)
3737 WILLIAMS DRIVE
GEORGETOWN, TX 78628
Williamson County (512) 863-8559
DR. BEVERLY B ZINZER DDS
Dentist
3737 WILLIAMS DRIVE
GEORGETOWN, TX 78628
Williamson County (512) 930-1233

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 Kent Macaulay's NPI number?

The NPI number for Kent Macaulay is 1124137930. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Kent Macaulay located?

Kent Macaulay practices at 3737 Williams Drive, Georgetown, TX 78628. The listed phone number is (512) 930-1233.

What is Kent Macaulay's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kent Macaulay enrolled in Medicare?

No. Kent Macaulay has opted out of Medicare through July 29, 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.

When was this NPI record last updated?

The NPPES record for Kent Macaulay 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.