DR. JEFFREY PAUL GRESSARD SR. D.D.S.
NPI 1184756405
Dentist - General Practice in Millbrae, CA

Q: What is Jeffrey Gressard's NPI number?

The NPI number for Jeffrey Gressard is 1184756405. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is Jeffrey Gressard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Jeffrey Gressard enrolled in Medicare?

No. Jeffrey Gressard has opted out of Medicare through June 14, 2028. 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.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Gressard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 March 12, 2007Opted out of Medicare · through Jun 14, 2028

1496 BROADWAY, MILLBRAE, CA 94030(650) 583-7191(650) 583-4219 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jeffrey Paul Gressard Sr. D.d.s. NPPES

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

DR. JEFFREY PAUL GRESSARD SR. D.D.S. (NPI 1184756405) is an individual general practice provider in Millbrae, California, licensed in California (26759) and active in the NPI registry since March 2007. He has opted out of Medicare through June 14, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184756405

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JEFFREY PAUL GRESSARD SR.Credential: D.D.S.

Location Address1496 BROADWAYMillbrae, CA 94030-1259

Mailing Address1496 BroadwayMillbrae, CA 94030-1259 · (650) 583-7191 · Fax (650) 583-4219

Phone(650) 583-7191

Fax(650) 583-4219

Sole ProprietorYes

Enumeration DateMarch 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1184756405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 26759

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1496 BROADWAY, Millbrae, CA 94030

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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. Jeffrey Paul Gressard Sr. D.d.s. 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 June 14, 2016 through June 14, 2028.

Opt-Out Effective DateJune 14, 2016

Opt-Out In Effect ThroughJune 14, 2028Opt-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 94030 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

DR. JULIA MA DDS

Dentist (General Practice)

1496 BROADWAY
MILLBRAE, CA 94030

San Mateo County (650) 583-7191

ANTHONY ALIAMUS DMD

Dentist

1496 BROADWAY
MILLBRAE, CA 94030

San Mateo County (650) 583-7191

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 Jeffrey Gressard's NPI number?

The NPI number for Jeffrey Gressard is 1184756405. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Jeffrey Gressard located?

Jeffrey Gressard practices at 1496 Broadway, Millbrae, CA 94030. The listed phone number is (650) 583-7191.

What is Jeffrey Gressard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jeffrey Gressard enrolled in Medicare?

No. Jeffrey Gressard has opted out of Medicare through June 14, 2028. 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 Jeffrey Gressard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.