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DR. THOMAS CHARLES OCHELTREE JR. DMD
NPI 1205892973
Dentist - Oral and Maxillofacial Surgery in Bloomington, IL

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
109 N REGENCY DR, BLOOMINGTON, IL 61701(309) 663-2526(309) 663-4788 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2026, Aug 16, 2022, Jul 1, 2019 (3 updates tracked since 2019).

About Dr. Thomas Charles Ocheltree Jr. Dmd NPPES

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

DR. THOMAS CHARLES OCHELTREE JR. DMD (NPI 1205892973) is an individual oral and maxillofacial surgery provider in Bloomington, Illinois, licensed in Illinois (019025084) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1205892973
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. THOMAS CHARLES OCHELTREE JR.Credential: DMD
Location Address109 N REGENCY DRBloomington, IL 61701-3515
Mailing Address109 N Regency DrBloomington, IL 61701-3515 · (309) 663-2526 · Fax (309) 663-4788
Phone(309) 663-2526
Fax(309) 663-4788
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 21, 2006
Last NPPES UpdateApril 6, 20263 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1205892973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019025084
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.

109 N REGENCY DR, Bloomington, IL 61701
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Other Identifiers 1

Other019025084IL · Dental License Number

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. Thomas Charles Ocheltree Jr. Dmd 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 ID5395740161
PECOS Enrollment IDI20060929000104
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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 5

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

DR. JACK CAPODICE JR. MD, DMD
Dentist (Oral and Maxillofacial Surgery)
109 N REGENCY DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2526
DR. ANTHONY MITCHELL ELGER DMD
Dentist (Oral and Maxillofacial Surgery)
109 N REGENCY DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2526
DR. DAVID EFAW MD, DDS
Dentist (Oral and Maxillofacial Surgery)
109 N REGENCY DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2526
CAPODICE, EFAW, OCHELTREE & ELGER PLLC
Dentist (Oral and Maxillofacial Surgery)
109 N REGENCY DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2526
DR. TANEENOP ARAMPHONGPHAN D.M.D.
Dentist (Oral and Maxillofacial Surgery)
109 N REGENCY DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2526

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 Thomas Ocheltree's NPI number?

The NPI number for Thomas Ocheltree is 1205892973. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Thomas Ocheltree located?

Thomas Ocheltree practices at 109 N Regency Dr, Bloomington, IL 61701. The listed phone number is (309) 663-2526.

What is Thomas Ocheltree's specialty?

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

Is Thomas Ocheltree enrolled in Medicare?

Yes. Thomas Ocheltree 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.

When was this NPI record last updated?

The NPPES record for Thomas Ocheltree was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.