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KEVIN E PORTER D.D.S., M.D.
NPI 1225181746
Dentist - Oral and Maxillofacial Surgery in Odessa, TX

Active since January 19, 2007Opted out of Medicare · through May 15, 2028
8101 DORADO DR, ODESSA, TX 79765(432) 333-6585(432) 333-9346 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin E Porter D.d.s., M.d. NPPES

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

KEVIN E PORTER D.D.S., M.D. (NPI 1225181746) is an individual oral and maxillofacial surgery provider in Odessa, Texas, licensed in Texas (16990) and active in the NPI registry since January 2007. He has opted out of Medicare through May 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225181746
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameKEVIN E PORTERCredential: D.D.S., M.D.
Location Address8101 DORADO DROdessa, TX 79765-8533
Mailing Address8101 Dorado DrOdessa, TX 79765-8533 · (432) 333-6585 · Fax (432) 333-9346
Phone(432) 333-6585
Fax(432) 333-9346
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateDecember 6, 2012
✔ NPI 1225181746 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 TX · 16990
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.
8101 DORADO DR, Odessa, TX 79765
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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

Kevin E Porter D.d.s., M.d. 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 May 15, 2012 through May 15, 2028.

Opt-Out Effective DateMay 15, 2012
Opt-Out In Effect ThroughMay 15, 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 79765 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 4

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

DR. JASON PATRICK JONES DDS, MD
Dentist (Oral and Maxillofacial Surgery)
8101 DORADO DR
ODESSA, TX 79765
Midland County (432) 333-6585
HELAMAN PAUL ERICKSON DDS, MD
Oral & Maxillofacial Surgery
8101 DORADO DR
ODESSA, TX 79765
Midland County (432) 333-6585
ROBERT STEVEN FUENTES D.D.S.
Dentist
8101 DORADO DR
ODESSA, TX 79765
Midland County (432) 333-6585
PERMIAN BASIN ORAL SURGERY & DENTAL IMPLANT CENTER
Dentist (Oral and Maxillofacial Surgery)
8101 DORADO DR
ODESSA, TX 79765
Midland County (432) 333-6585

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 Kevin Porter's NPI number?

The NPI number for Kevin Porter is 1225181746. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Kevin Porter located?

Kevin Porter practices at 8101 Dorado Dr, Odessa, TX 79765. The listed phone number is (432) 333-6585.

What is Kevin Porter's specialty?

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

Is Kevin Porter enrolled in Medicare?

No. Kevin Porter has opted out of Medicare through May 15, 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 Kevin Porter was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.