DR. JERRY ERVIN MIRACLE DDS
NPI 1306908165
Dentist - General Practice in Monroe, NC

Q: What is Jerry Miracle's NPI number?

The NPI number for Jerry Miracle is 1306908165. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Q: What is Jerry Miracle'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 Jerry Miracle 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 December 15, 2006PECOS Enrolled

1329 PATTERSON ST, MONROE, NC 28112(704) 289-1993(704) 226-1743 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. Jerry Ervin Miracle Dds NPPES

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

DR. JERRY ERVIN MIRACLE DDS (NPI 1306908165) is an individual general practice provider in Monroe, North Carolina, licensed in North Carolina (7308) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306908165

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JERRY ERVIN MIRACLECredential: DDS

Location Address1329 PATTERSON STMonroe, NC 28112-4349

Mailing Address1329 Patterson St, Po Box 949Monroe, NC 28112-4349 · (704) 289-1993

Phone(704) 289-1993

Fax(704) 226-1743

Sole ProprietorYes

Enumeration DateDecember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306908165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 7308

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.

1329 PATTERSON ST, Monroe, NC 28112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.Insurance ›

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. Jerry Ervin Miracle 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 28112 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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

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

MIRACLE DENTAL CENTER PA

Dentist (General Practice)

1329 PATTERSON ST
MONROE, NC 28112

Union County (704) 289-1993

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 Jerry Miracle's NPI number?

The NPI number for Jerry Miracle is 1306908165. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Jerry Miracle located?

Jerry Miracle practices at 1329 Patterson St, Monroe, NC 28112. The listed phone number is (704) 289-1993.

What is Jerry Miracle's specialty?

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

Is Jerry Miracle enrolled in Medicare?

Yes. Jerry Miracle is registered in the Medicare PECOS enrollment system.

What insurance does Jerry Miracle accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Jerry Miracle 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 Jerry Miracle 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.