DR. JASON LANIER OUTLAW DMD, DMSC
NPI 1184144651
Dentist in Boston, MA

Q: What is Jason Outlaw's NPI number?

The NPI number for Jason Outlaw is 1184144651. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Q: What is Jason Outlaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jason Outlaw was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 26, 2017PECOS Enrolled

1575 BLUE HILL AVE, BOSTON, MA 02126(617) 296-0061 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2020, Apr 22, 2020, Jun 26, 2017 (3 updates tracked since 2017).

On this page

About Dr. Jason Lanier Outlaw Dmd, Dmsc NPPES

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

DR. JASON LANIER OUTLAW DMD, DMSC (NPI 1184144651) is an individual dentist in Boston, Massachusetts, licensed in Massachusetts (DN1858198) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184144651

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JASON LANIER OUTLAWCredential: DMD, DMSC

Location Address1575 BLUE HILL AVEBoston, MA 02126-2122

Mailing Address25 Dorchester Ave, #51237Boston, MA 02205 · (312) 731-5818

Phone(617) 296-0061

Sole ProprietorNo

Enumeration DateJune 26, 2017

Last NPPES UpdateMay 6, 20203 updates tracked since enumeration

NPPES CertifiedMay 6, 2020

✔ NPI 1184144651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MA · DN1858198

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1575 BLUE HILL AVE, Boston, MA 02126

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1637 Washington StDorchester, MA 02124-3510 · Phone (617) 822-8142

Location 297 Bethany RdFramingham, MA 01702-7237 · Phone (508) 872-6750

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason Lanier Outlaw Dmd, Dmsc 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.

Medicare Billing Reassignments

Medicare enrollment records show Jason Outlaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upham's Corner Health Committee, Inc.

3.4 mi

Community Health

500 COLUMBIA RD
Dorchester, MA 02125

Reassigned Medicare billing, Massachusetts enrollment
Medicare enrollment name: Uphams Corner Health Committee Inc
55 clinicians in this Medicare group

NPI 1780780486 (617) 287-8000

Cambridge Public Health Commission

7.3 mi

General Acute Care Hospital

1493 CAMBRIDGE ST
Cambridge, MA 02139

Reassigned Medicare billing, Massachusetts enrollment
719 clinicians in this Medicare group

NPI 1487603585 (617) 665-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02126 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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 20

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

SAMSON YU

Pharmacist

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 898-1282

DR. MICHELLE DALENCOUR M.D.

Family Medicine

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 296-0061

CVS PHARMACY INC

Pharmacy

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 898-1282

ZHEN RUAN

Dental Hygienist

1575 BLUE HILL AVE
BOSTON, MA 02126

Suffolk County (617) 296-0061

EMILY CASTELLANOS

Counselor (Mental Health)

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 296-0061

MS. SHAUNTELLE MALCOLM RN

Nurse Practitioner (Psychiatric/Mental Health)

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 296-0061

VICTORIA ELENA OLIVA RAPOPORT MD

Family Medicine

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 296-0061

TIN DANG

Pharmacist

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 898-1282

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 Jason Outlaw's NPI number?

The NPI number for Jason Outlaw is 1184144651. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Jason Outlaw located?

Jason Outlaw practices at 1575 Blue Hill Ave, Boston, MA 02126. The listed phone number is (617) 296-0061.

What is Jason Outlaw's specialty?

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

Is Jason Outlaw enrolled in Medicare?

Yes. Jason Outlaw is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jason Outlaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Outlaw reassigns Medicare benefits to 2 organizations: Upham's Corner Health Committee, Inc. (Dorchester, MA) and Cambridge Public Health Commission (Cambridge, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Outlaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Outlaw accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jason Outlaw 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 Jason Outlaw was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.