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DR. BLAIR JOHN TUDOR III D.M.D.
NPI 1215114467
Dentist in Medford, OR

Active since January 29, 2008PECOS Enrolled
670 SUPERIOR CT, SUITE 101, MEDFORD, OR 97504(541) 779-6170(541) 779-0989 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Blair John Tudor Iii D.m.d. NPPES

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

DR. BLAIR JOHN TUDOR III D.M.D. (NPI 1215114467) is an individual dentist in Medford, Oregon, licensed in Oregon (D8994) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215114467
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BLAIR JOHN TUDOR IIICredential: D.M.D.
Location Address670 SUPERIOR CT, SUITE 101Medford, OR 97504-6174
Mailing Address670 Superior Ct, Suite 101Medford, OR 97504-6174 · (541) 779-6170 · Fax (541) 779-0989
Phone(541) 779-6170
Fax(541) 779-0989
Sole ProprietorNo
Enumeration DateJanuary 29, 2008
✔ NPI 1215114467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D8994
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
670 SUPERIOR CT, Medford, OR 97504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Alaska, Humana, Moda Health Plan, Inc. 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 (PECOS)

Dr. Blair John Tudor Iii D.m.d. 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 97504 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

KATHRYN MAITAS M.A., LPC
Counselor (Mental Health)
670 SUPERIOR CT
MEDFORD, OR 97504
Jackson County (541) 414-4931
RICHARD C SCHMIDT
Dentist
670 SUPERIOR CT, SUITE 101
MEDFORD, OR 97504
Jackson County (541) 779-6170

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 Blair Tudor's NPI number?

The NPI number for Blair Tudor is 1215114467. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Where is Blair Tudor located?

Blair Tudor practices at 670 Superior Ct Suite 101, Medford, OR 97504. The listed phone number is (541) 779-6170.

What is Blair Tudor's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Blair Tudor enrolled in Medicare?

Yes. Blair Tudor is registered in the Medicare PECOS enrollment system.

What insurance does Blair Tudor accept?

Health plans from Delta Dental of Alaska, Humana, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Blair Tudor 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 Blair Tudor was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.