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DR. STONE RANGARAJAN THAYER DMD, MD
NPI 1255416459
Oral & Maxillofacial Surgery in Boerne, TX

Active since October 26, 2006Opted out of Medicare · through Jun 22, 2027
134 MENGER SPGS STE 1200, BOERNE, TX 78006(830) 815-2480 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2026, Aug 11, 2022 (2 updates tracked since 2022).

About Dr. Stone Rangarajan Thayer Dmd, Md NPPES

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

DR. STONE RANGARAJAN THAYER DMD, MD (NPI 1255416459) is an individual oral & maxillofacial surgery provider in Boerne, Texas, licensed in Texas (T3198) and active in the NPI registry since October 2006. He has opted out of Medicare through June 22, 2027 and remains eligible to order and refer and maintains a secondary practice location in Wauwatosa.

NPPES Registry Identity

NPI1255416459
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. STONE RANGARAJAN THAYERCredential: DMD, MD
Location Address134 MENGER SPGS STE 1200Boerne, TX 78006-7220
Mailing Address2103 N Reynolds Rd Unit 648Bryant, AR 72089-8800 · (214) 770-1840
Phone(830) 815-2480
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1255416459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in TX · T3198✔ Licensed in FL · ME 114524✔ Licensed in CA · A137085
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 22911 (TX), 6001097-15 (WI)
134 MENGER SPGS STE 1200, Boerne, TX 78006
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Secondary Practice Location 1

Location 1805 N Mayfair RdWauwatosa, WI 53226-4241 · Phone (414) 567-0662 · Fax (414) 249-6075

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, 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

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Opted out of Medicare

Dr. Stone Rangarajan Thayer Dmd, 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 June 22, 2023 through June 22, 2027.

Opt-Out Effective DateJune 22, 2023
Opt-Out In Effect ThroughJune 22, 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.

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 Stone Thayer's NPI number?

The NPI number for Stone Thayer is 1255416459. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Stone Thayer located?

Stone Thayer practices at 134 Menger Spgs Ste 1200, Boerne, TX 78006. The listed phone number is (830) 815-2480.

What is Stone Thayer's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Stone Thayer enrolled in Medicare?

No. Stone Thayer has opted out of Medicare through June 22, 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.

What insurance does Stone Thayer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Louisiana Healthcare Connections and 18 other insurers list Stone Thayer 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 Stone Thayer was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.