DR. CHAD MORTENSEN THOMPSON D.D.S.
NPI 1376600155
Dentist - General Practice in Portland, TX

Active since January 02, 2007Opted out of Medicare · through Feb 16, 2028
112 SECO DR, PORTLAND, TX 78374(361) 563-6213(361) 853-4084 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Chad Mortensen Thompson D.d.s. NPPES

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

DR. CHAD MORTENSEN THOMPSON D.D.S. (NPI 1376600155) is an individual general practice provider in Portland, Texas, licensed in Texas (25211) and active in the NPI registry since January 2007. He has opted out of Medicare through February 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376600155
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHAD MORTENSEN THOMPSONCredential: D.D.S.
Location Address112 SECO DRPortland, TX 78374-1458
Mailing Address112 Seco DrPortland, TX 78374-1458 · (361) 563-6213 · Fax (361) 853-4084
Fax(361) 853-4084
Sole ProprietorYes
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 15, 2015
NPI 1376600155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in TX · 25211 Licensed in ID · D3200
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.
112 SECO DR, Portland, TX 78374

Accepted 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. Chad Mortensen Thompson D.d.s. 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 February 16, 2016 through February 16, 2028.

Opt-Out Effective DateFebruary 16, 2016
Opt-Out In Effect ThroughFebruary 16, 2028Opt-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 78374 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Chad Thompson's NPI number?

The NPI number for Chad Thompson is 1376600155. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Chad Thompson located?

Chad Thompson practices at 112 Seco Dr, Portland, TX 78374. The listed phone number is (361) 563-6213.

What is Chad Thompson's specialty?

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

Is Chad Thompson enrolled in Medicare?

No. Chad Thompson has opted out of Medicare through February 16, 2028. 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 Chad Thompson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 7 other insurers list Chad Thompson 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 Chad Thompson was last updated on July 15, 2015. 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.