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C. MICHAEL LOCKE D.M.D., M.D.
NPI 1184721995
Dentist - Oral and Maxillofacial Surgery in Tullahoma, TN

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
125 LEDFORD MILL RD, TULLAHOMA, TN 37388(931) 455-2105(931) 455-2104 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2022, Jul 21, 2022, Aug 22, 2017 (3 updates tracked since 2017).

About C. Michael Locke D.m.d., M.d. NPPES

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

C. MICHAEL LOCKE D.M.D., M.D. (NPI 1184721995) is an individual oral and maxillofacial surgery provider in Tullahoma, Tennessee, licensed in Tennessee (DS0000007685) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1996).

NPPES Registry Identity

NPI1184721995
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameC. MICHAEL LOCKECredential: D.M.D., M.D.
Location Address125 LEDFORD MILL RDTullahoma, TN 37388-2278
Mailing Address125 Ledford Mill RdTullahoma, TN 37388-2278 · (931) 455-2105 · Fax (931) 455-2104
Phone(931) 455-2105
Fax(931) 455-2104
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 1996
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 2, 20223 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1184721995 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 TN · DS0000007685
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 ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 0000031540 (TN)
125 LEDFORD MILL RD, Tullahoma, TN 37388
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Other Identifiers 3

Other338420TN · United Concordia
Other4013636TN · Blue Cross Blue Shield
Medicaid3208948TN

Accepted Insurance

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

C. Michael Locke D.m.d., M.d. 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 ID3678486388
PECOS Enrollment IDI20031110000172
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

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37388 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 C. Locke's NPI number?

The NPI number for C. Locke is 1184721995. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is C. Locke located?

C. Locke practices at 125 Ledford Mill Rd, Tullahoma, TN 37388. The listed phone number is (931) 455-2105.

What is C. Locke's specialty?

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

Is C. Locke enrolled in Medicare?

Yes. C. Locke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does C. Locke accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list C. Locke 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 C. Locke was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.