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PICKETT ORAL SURGERY PC
NPI 1275809394
Dentist - Oral and Maxillofacial Surgery in Knoxville, TN

Active since March 23, 2012
248 N PETERS RD STE 1, KNOXVILLE, TN 37923(865) 691-0918(865) 691-6215 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pickett Oral Surgery Pc NPPES

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

PICKETT ORAL SURGERY PC (NPI 1275809394) is a healthcare organization registered as an oral and maxillofacial surgery in Knoxville, Tennessee and active in the NPI registry since March 2012. The organization lists David Owen Pickett, President, as its authorized official.

NPPES Registry Identity

NPI1275809394
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePICKETT ORAL SURGERY PC
Location Address248 N PETERS RD STE 1Knoxville, TN 37923-4925
Mailing Address248 N Peters Rd Ste 1Knoxville, TN 37923-4925 · (865) 691-0918 · Fax (865) 691-6215
Phone(865) 691-0918
Fax(865) 691-6215
Organization SubpartNo
Authorized OfficialDavid Owen PickettPresident · (865) 691-0918
Enumeration DateMarch 23, 2012
Last NPPES UpdateAugust 25, 2023
NPPES CertifiedAugust 25, 2023
✔ NPI 1275809394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
248 N PETERS RD STE 1, Knoxville, TN 37923
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest Insurance Company Inc- TN, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pickett Oral Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pickett Oral Surgery PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

David Pickett, DMD
Oral Surgery
NPI 1164664140
248 N PETERS RD STE 3
Knoxville, TN 37923
(865) 691-0918
✔ PECOS✔ Accepts MedicareSame address
Chet Matsuura, DMD
Oral Surgery
NPI 1841827177
248 N PETERS RD STE 1
Knoxville, TN 37923
(865) 691-0918
✔ PECOS✔ Accepts Medicare0.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pickett Oral Surgery PC's NPI number?

The NPI number for Pickett Oral Surgery PC is 1275809394. It was assigned to this organization in the NPPES registry on March 23, 2012.

Where is Pickett Oral Surgery PC located?

Pickett Oral Surgery PC is located at 248 N Peters Rd Ste 1, Knoxville, TN 37923. The listed phone number is (865) 691-0918.

What is Pickett Oral Surgery PC's specialty?

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

Is Pickett Oral Surgery PC enrolled in Medicare?

Yes. Pickett Oral Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pickett Oral Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Pickett Oral Surgery PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pickett Oral Surgery PC accept?

Health plans from DentaQuest Insurance Company Inc- TN and UnitedHealthcare list Pickett Oral Surgery PC 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 Pickett Oral Surgery PC was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.