DR. JENNIFER K BRUBAKER DMD
NPI 1205940681
Dentist - General Practice in Collinsville, IL

Active since August 19, 2006PECOS Enrolled
1099 BELT LINE RD, SUITE A, COLLINSVILLE, IL 62234(618) 344-4527(618) 344-7380 Get Directions Write a Review

NPPES record last updated: April 18, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jennifer K Brubaker Dmd NPPES

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

DR. JENNIFER K BRUBAKER DMD (NPI 1205940681) is an individual general practice provider in Collinsville, Illinois, licensed in Illinois (019027083) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205940681
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JENNIFER K BRUBAKERCredential: DMD
Location Address1099 BELT LINE RD, SUITE ACollinsville, IL 62234-4380
Mailing Address1099 Belt Line Rd, Suite ACollinsville, IL 62234-4380 · (618) 344-4527 · Fax (618) 344-7380
Fax(618) 344-7380
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateApril 18, 2011
NPI 1205940681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019027083
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.

1099 BELT LINE RD, Collinsville, IL 62234

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. Jennifer K Brubaker Dmd 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 62234 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 6

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

Dentist (General Practice)
1099 BELT LINE RD, SUITE J-K
COLLINSVILLE, IL 62234
Dentist
1099 BELT LINE RD, SUITE J-K
COLLINSVILLE, IL 62234
Dentist
1099 BELT LINE RD, SUITE J-K
COLLINSVILLE, IL 62234
Dentist (General Practice)
1099 BELT LINE RD, STE A
COLLINSVILLE, IL 62234
Dentist (Periodontics)
1099 BELT LINE RD, SUITE A
COLLINSVILLE, IL 62234
Dentist (General Practice)
1099 BELT LINE RD
COLLINSVILLE, IL 62234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205940681, enumerated as an "individual" on August 19, 2006.

The provider is located at 1099 BELT LINE RD SUITE A COLLINSVILLE, IL 62234 and the phone number is (618) 344-4527.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.