DR. WILLIAM WOFFORD WELLER DDS
NPI 1245304062
Dentist - General Practice in Jacksonville, IL

Q: What is William Weller's NPI number?

The NPI number for William Weller is 1245304062. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is William Weller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for William Weller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 20, 2006PECOS Enrolled

1614 W LAFAYETTE AVE, JACKSONVILLE, IL 62650(817) 245-4516(217) 245-7906 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. William Wofford Weller Dds NPPES

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

DR. WILLIAM WOFFORD WELLER DDS (NPI 1245304062) is an individual general practice provider in Jacksonville, Illinois, licensed in Arizona (4113) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245304062

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. WILLIAM WOFFORD WELLERCredential: DDS

Location Address1614 W LAFAYETTE AVEJacksonville, IL 62650-1000

Mailing Address1614 W Lafayette AveJacksonville, IL 62650-1000 · (817) 245-4516 · Fax (217) 245-7906

Phone(817) 245-4516

Fax(217) 245-7906

Sole ProprietorNo

Enumeration DateNovember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1245304062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in AZ · 4113✔ Licensed in TX · 17459

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.

1614 W LAFAYETTE AVE, Jacksonville, IL 62650

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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. William Wofford Weller Dds 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 62650 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.

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 William Weller's NPI number?

The NPI number for William Weller is 1245304062. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is William Weller located?

William Weller practices at 1614 W Lafayette Ave, Jacksonville, IL 62650. The listed phone number is (817) 245-4516.

What is William Weller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is William Weller enrolled in Medicare?

Yes. William Weller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Weller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.