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DR. JASON SEAN SCHROTENBOER DDS, MD
NPI 1336377456
Dentist - Oral and Maxillofacial Surgery in Chicago, IL

Active since June 26, 2009Opted out of Medicare · through Jun 24, 2027
3927 W BELMONT AVE STE 101, CHICAGO, IL 60618(773) 945-5005(773) 945-5004 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2021, Apr 29, 2018, Mar 17, 2018 and 3 more (6 updates tracked since 2015).

About Dr. Jason Sean Schrotenboer Dds, Md NPPES

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

DR. JASON SEAN SCHROTENBOER DDS, MD (NPI 1336377456) is an individual oral and maxillofacial surgery provider in Chicago, Illinois, licensed in Illinois (019030332) and active in the NPI registry since June 2009. He has opted out of Medicare through June 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336377456
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JASON SEAN SCHROTENBOERCredential: DDS, MD
Location Address3927 W BELMONT AVE STE 101Chicago, IL 60618-5170
Mailing Address3927 W Belmont Ave Ste 101Chicago, IL 60618-5170 · (773) 945-5005 · Fax (773) 945-5004
Phone(773) 945-5005
Fax(773) 945-5004
Sole ProprietorYes
Enumeration DateJune 26, 2009
Last NPPES UpdateNovember 9, 20216 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1336377456 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 IL · 019030332
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 ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 019030332 (IL)
3927 W BELMONT AVE STE 101, Chicago, IL 60618
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, HRI Dental & Vision 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

Dr. Jason Sean Schrotenboer 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 June 24, 2017 through June 24, 2027.

Opt-Out Effective DateJune 24, 2017
Opt-Out In Effect ThroughJune 24, 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 60618 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

JASON SCHROTENBOER DDS MD PC
Oral & Maxillofacial Surgery
3927 W BELMONT AVE STE 101
CHICAGO, IL 60618
Cook County (872) 239-6787

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 Jason Schrotenboer's NPI number?

The NPI number for Jason Schrotenboer is 1336377456. It was assigned to this individual provider in the NPPES registry on June 26, 2009.

Where is Jason Schrotenboer located?

Jason Schrotenboer practices at 3927 W Belmont Ave Ste 101, Chicago, IL 60618. The listed phone number is (773) 945-5005.

What is Jason Schrotenboer's specialty?

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

Is Jason Schrotenboer enrolled in Medicare?

No. Jason Schrotenboer has opted out of Medicare through June 24, 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 Jason Schrotenboer accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, HRI Dental & Vision, Humana and Paramount and 2 other insurers list Jason Schrotenboer 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 Jason Schrotenboer was last updated on November 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.