JESSICA MCAULIFFE D.M.D.
NPI 1154664787
Dentist - General Practice in Charlottesville, VA

Active since April 02, 2013Opted out of Medicare · through Jan 5, 2028
2202 N BERKSHIRE RD, SUITE 203, CHARLOTTESVILLE, VA 22901(434) 293-9793 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Mcauliffe D.m.d. NPPES

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

JESSICA MCAULIFFE D.M.D. (NPI 1154664787) is an individual general practice provider in Charlottesville, Virginia, licensed in Virginia (0401415003) and active in the NPI registry since April 2013. She has opted out of Medicare through January 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154664787
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJESSICA MCAULIFFECredential: D.M.D.
Location Address2202 N BERKSHIRE RD, SUITE 203Charlottesville, VA 22901-2761
Mailing Address2202 N Berkshire Rd, Suite 203Charlottesville, VA 22901-2761
Sole ProprietorNo
Enumeration DateApril 2, 2013
Last NPPES UpdateSeptember 22, 2015
NPI 1154664787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in VA · 0401415003 Licensed in IL · 019029644
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2202 N BERKSHIRE RD, Charlottesville, VA 22901

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

Jessica Mcauliffe 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 January 5, 2016 through January 5, 2028.

Opt-Out Effective DateJanuary 5, 2016
Opt-Out In Effect ThroughJanuary 5, 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 22901 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 8

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

Dentist
2202 N BERKSHIRE RD, SUITE 202
CHARLOTTESVILLE, VA 22901
Dentist
2202 N BERKSHIRE RD, SUITE #203
CHARLOTTESVILLE, VA 22901
Dentist
2202 N BERKSHIRE RD
CHARLOTTESVILLE, VA 22901
Dentist
2202 N BERKSHIRE RD, 103
CHARLOTTESVILLE, VA 22901
Dentist
2202 N BERKSHIRE RD, STE. 103
CHARLOTTESVILLE, VA 22901
Dentist
2202 N BERKSHIRE RD
CHARLOTTESVILLE, VA 22901
Dentist (General Practice)
2202 N BERKSHIRE RD
CHARLOTTESVILLE, VA 22901
Dentist (General Practice)
2202 N BERKSHIRE RD, SUITE 203
CHARLOTTESVILLE, VA 22901

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 Jessica Mcauliffe's NPI number?

The NPI number for Jessica Mcauliffe is 1154664787. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Where is Jessica Mcauliffe located?

Jessica Mcauliffe practices at 2202 N Berkshire Rd Suite 203, Charlottesville, VA 22901. The listed phone number is (434) 293-9793.

What is Jessica Mcauliffe's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jessica Mcauliffe enrolled in Medicare?

No. Jessica Mcauliffe has opted out of Medicare through January 5, 2028. 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.

What insurance does Jessica Mcauliffe accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jessica Mcauliffe 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 Jessica Mcauliffe was last updated on September 22, 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.