DR. WENDELL WAYNE NEELEY II DMD, MD, MS
NPI 1285806810
Dentist - Oral and Maxillofacial Surgery in Shreveport, LA

Active since March 24, 2008PECOS EnrolledAccepts Medicare Assignment
1501 KINGS HWY, SHREVEPORT, LA 71103(318) 813-2625 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Wendell Wayne Neeley Ii Dmd, Md, Ms NPPES

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

DR. WENDELL WAYNE NEELEY II DMD, MD, MS (NPI 1285806810) is an individual oral and maxillofacial surgery provider in Shreveport, Louisiana, licensed in Louisiana (S-800) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Dentistry (2001).

NPPES Registry Identity

NPI1285806810
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. WENDELL WAYNE NEELEY IICredential: DMD, MD, MS
Location Address1501 KINGS HWYShreveport, LA 71103-4228
Mailing Address706 Delaware StShreveport, LA 71106-1640 · (210) 378-2475
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of DentistryGraduated 2001
Enumeration DateMarch 24, 2008
Last NPPES UpdateSeptember 4, 2014
NPI 1285806810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in LA · S-800
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.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 20792 (TX)
1501 KINGS HWY, Shreveport, LA 71103

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Wendell Wayne Neeley Ii Dmd, Md, Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133424245
PECOS Enrollment IDI20180515001560
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 71103 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 20

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

General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103

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 Wendell Neeley's NPI number?

The NPI number for Wendell Neeley is 1285806810. It was assigned to this individual provider in the NPPES registry on March 24, 2008.

Where is Wendell Neeley located?

Wendell Neeley practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 813-2625.

What is Wendell Neeley's specialty?

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

Is Wendell Neeley enrolled in Medicare?

Yes. Wendell Neeley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Wendell Neeley accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Wendell Neeley 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 Wendell Neeley was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.