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DR. HIRAN R FERNANDO DDS
NPI 1164634135
Dentist - Oral and Maxillofacial Surgery in Clayton, MO

Active since May 04, 2007Opted out of Medicare · through Sep 14, 2026
165 N. MERAMEC AVE, SUITE 300, CLAYTON, MO 63105(314) 726-2755(314) 726-9538 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2023, May 16, 2017 (2 updates tracked since 2017).

About Dr. Hiran R Fernando Dds NPPES

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

DR. HIRAN R FERNANDO DDS (NPI 1164634135) is an individual oral and maxillofacial surgery provider in Clayton, Missouri, licensed in Missouri (2011001387) and active in the NPI registry since May 2007. He has opted out of Medicare through September 14, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164634135
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. HIRAN R FERNANDOCredential: DDS
Location Address165 N. MERAMEC AVE, SUITE 300Clayton, MO 63105-3772
Mailing Address165 N. Meramec Ave, Suite 300Clayton, MO 63105-3772 · (314) 726-2755 · Fax (314) 726-9538
Phone(314) 726-2755
Fax(314) 726-9538
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1164634135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MO · 2011001387
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 ListedDentistTaxonomy 122300000X · License 23369 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License P56783 (NY)
165 N. MERAMEC AVE, Clayton, MO 63105
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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. Hiran R Fernando 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 September 14, 2012 through September 14, 2026.

Opt-Out Effective DateSeptember 14, 2012
Opt-Out In Effect ThroughSeptember 14, 2026Opt-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 63105 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

GATEWAY ORAL AND MAXILLOFACIAL SURGEONS OF ST LOUIS, P.C.
Dentist (Oral and Maxillofacial Surgery)
165 N. MERAMEC AVE, SUITE 300
CLAYTON, MO 63105
St. Louis County (314) 726-2755
MR. SCOTT F NOLEN DMD
Dentist (Oral and Maxillofacial Surgery)
165 N. MERAMEC AVE, SUITE 300
CLAYTON, MO 63105
St. Louis County (314) 726-2755

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 Hiran Fernando's NPI number?

The NPI number for Hiran Fernando is 1164634135. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Hiran Fernando located?

Hiran Fernando practices at 165 N. Meramec Ave Suite 300, Clayton, MO 63105. The listed phone number is (314) 726-2755.

What is Hiran Fernando's specialty?

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

Is Hiran Fernando enrolled in Medicare?

No. Hiran Fernando has opted out of Medicare through September 14, 2026. 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 Hiran Fernando was last updated on April 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.