DR. SERGEY GAZAROV D.D.S.
NPI 1194150946
Dentist - Oral and Maxillofacial Surgery in Fort Stewart, GA

Active since September 12, 2013PECOS Enrolled
351 W 6TH STREET, BLDG 440, USA DENTAL HEALTH ACTIVITY, FORT STEWART, GA 31314(912) 435-6249 Get Directions Write a Review

NPPES record last updated: December 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 24, 2022, Jun 21, 2019 (2 updates tracked since 2019).

About Dr. Sergey Gazarov D.d.s. NPPES

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

DR. SERGEY GAZAROV D.D.S. (NPI 1194150946) is an individual oral and maxillofacial surgery provider in Fort Stewart, Georgia, licensed in South Carolina (9549) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194150946
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SERGEY GAZAROVCredential: D.D.S.
Location Address351 W 6TH STREET, BLDG 440, USA DENTAL HEALTH ACTIVITYFort Stewart, GA 31314
Mailing AddressBldg 38717 38th Street, Usa DentacFort Gordon, GA 30905 · (706) 787-6927
Sole ProprietorYes
Enumeration DateSeptember 12, 2013
Last NPPES UpdateDecember 24, 20222 updates tracked since enumeration
NPPES CertifiedDecember 24, 2022
NPI 1194150946 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 SC · 9549
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 62674 (CA)
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 61302962 (WA)
351 W 6TH STREET, BLDG 440, Fort Stewart, GA 31314

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sergey Gazarov D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31314 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 Sergey Gazarov's NPI number?

The NPI number for Sergey Gazarov is 1194150946. It was assigned to this individual provider in the NPPES registry on September 12, 2013.

Where is Sergey Gazarov located?

Sergey Gazarov practices at 351 W 6th Street, Bldg 440 Usa Dental Health Activity, Fort Stewart, GA 31314. The listed phone number is (912) 435-6249.

What is Sergey Gazarov's specialty?

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

Is Sergey Gazarov enrolled in Medicare?

Yes. Sergey Gazarov is registered in the Medicare PECOS enrollment system.

What insurance does Sergey Gazarov accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Sergey Gazarov 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 Sergey Gazarov was last updated on December 24, 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.