DR. JASON BRADFORD UNTRAUER MD, DDS
NPI 1164686648
Oral & Maxillofacial Surgery in Omaha, NE

Q: What is Jason Untrauer's NPI number?

The NPI number for Jason Untrauer is 1164686648. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Q: What is Jason Untrauer's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Untrauer was last updated on March 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 15, 2008PECOS EnrolledAccepts Medicare Assignment

4014 LEAVENWORTH ST, OMAHA, NE 68105(402) 559-5999(402) 559-3499 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jason Bradford Untrauer Md, Dds NPPES

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

DR. JASON BRADFORD UNTRAUER MD, DDS (NPI 1164686648) is an individual oral & maxillofacial surgery provider in Omaha, Nebraska, licensed in Nebraska (25465) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1164686648

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. JASON BRADFORD UNTRAUERCredential: MD, DDS

Location Address4014 LEAVENWORTH STOmaha, NE 68105-1053

Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102 · (402) 559-5999

Phone(402) 559-5999

Fax(402) 559-3499

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2003

Enumeration DateJuly 15, 2008

Last NPPES UpdateMarch 29, 2018

✔ NPI 1164686648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in NE · 25465

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentistTaxonomy 122300000X · License 25465 (NE)

4014 LEAVENWORTH ST, Omaha, NE 68105

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Secondary Practice Location 1

Location 1988102 Nebraska Medical CtrOmaha, NE 68198-8102 · Phone (402) 559-5999 · Fax (402) 559-3499

Other Identifiers 1

Other25465NE · Ne License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter 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 and accepts Medicare assignment

Dr. Jason Bradford Untrauer Md, Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577608785

PECOS Enrollment IDI20100226000393

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

X-ray of lower jaws, upper jaws and teeth 70355

An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.

14 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

13 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280013

Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

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