MR. MICHAEL B GISSELL JR. DDS MD
NPI 1255386140
Dentist - Oral and Maxillofacial Surgery in San Antonio, TX

Q: What is Michael Gissell's NPI number?

The NPI number for Michael Gissell is 1255386140. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Michael Gissell's specialty?

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

Q: Is Michael Gissell enrolled in Medicare?

No. Michael Gissell has opted out of Medicare through July 30, 2027. 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.

Q: When was this NPI record last updated?

The NPPES record for Michael Gissell was last updated on January 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 May 23, 2006Opted out of Medicare · through Jul 30, 2027

6501 BLANCO RD, SAN ANTONIO, TX 78216(210) 341-7264(210) 341-2022 Get Directions Write a Review

NPPES record last updated: January 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Michael B Gissell Jr. Dds Md NPPES

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

MR. MICHAEL B GISSELL JR. DDS MD (NPI 1255386140) is an individual oral and maxillofacial surgery provider in San Antonio, Texas, licensed in Texas (20087) and active in the NPI registry since May 2006. He has opted out of Medicare through July 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255386140

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameMR. MICHAEL B GISSELL JR.Credential: DDS MD

Location Address6501 BLANCO RDSan Antonio, TX 78216

Mailing Address6501 Blanco RdSan Antonio, TX 78216 · (210) 341-7264 · Fax (210) 341-2022

Phone(210) 341-7264

Fax(210) 341-2022

Sole ProprietorNo

Enumeration DateMay 23, 2006

Last NPPES UpdateJanuary 26, 2011

✔ NPI 1255386140 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 · 20087

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.

6501 BLANCO RD, San Antonio, TX 78216

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Michael B Gissell Jr. Dds Md 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 July 30, 2021 through July 30, 2027.

Opt-Out Effective DateJuly 30, 2021

Opt-Out In Effect ThroughJuly 30, 2027Opt-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 78216 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.

Leave this field empty

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.

DR. LAVAN R PARKER III DDS

Dentist (Oral and Maxillofacial Surgery)