AMANDA GERLACH
NPI 1154928943
Dentist - Oral and Maxillofacial Surgery in Fort Worth, TX

Q: What is Amanda Gerlach's NPI number?

The NPI number for Amanda Gerlach is 1154928943. It was assigned to this individual provider in the NPPES registry on October 5, 2020.

Q: What is Amanda Gerlach's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Gerlach was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 05, 2020PECOS Enrolled

3550 HULEN ST STE C, FORT WORTH, TX 76107(817) 476-3503 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2023, Oct 5, 2020 (2 updates tracked since 2020).

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About Amanda Gerlach NPPES

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

AMANDA GERLACH (NPI 1154928943) is an individual oral and maxillofacial surgery provider in Fort Worth, Texas, licensed in Utah (13342080-9921) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154928943

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameAMANDA GERLACH

Location Address3550 HULEN ST STE CFort Worth, TX 76107-6885

Mailing Address6454 Living Pl Apt 404Pittsburgh, PA 15206-3944 · (480) 467-9026

Phone(817) 476-3503

Sole ProprietorNo

Enumeration DateOctober 5, 2020

Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration

NPPES CertifiedAugust 23, 2023

✔ NPI 1154928943 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 UT · 13342080-9921

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 · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 36221 (TX)

3550 HULEN ST STE C, Fort Worth, TX 76107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Delta Dental PPO, EMI Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Gerlach is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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 Amanda Gerlach's NPI number?

The NPI number for Amanda Gerlach is 1154928943. It was assigned to this individual provider in the NPPES registry on October 5, 2020.

Where is Amanda Gerlach located?

Amanda Gerlach practices at 3550 Hulen St Ste C, Fort Worth, TX 76107. The listed phone number is (817) 476-3503.

What is Amanda Gerlach's specialty?

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

Is Amanda Gerlach enrolled in Medicare?

Yes. Amanda Gerlach is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Gerlach accept?

Health plans from BridgeSpan Health Company, Delta Dental PPO, EMI Health, Molina Healthcare and Regence BlueCross BlueShield of Utah and 1 other insurer list Amanda Gerlach 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 Amanda Gerlach was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.