1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Dentist
  6. NPI Profile

DR. MAKOTO SAIGUSA D.M.D, M.D.
NPI 1417067497
Dentist - Oral and Maxillofacial Surgery in Tyler, TX

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
805 TURTLE CREEK DR, TYLER, TX 75701(903) 592-1664(903) 592-6595 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 23, 2023, Jan 23, 2023, Nov 29, 2022 and 4 more (7 updates tracked since 2020).

About Dr. Makoto Saigusa D.m.d, M.d. NPPES

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

DR. MAKOTO SAIGUSA D.M.D, M.D. (NPI 1417067497) is an individual oral and maxillofacial surgery provider in Tyler, Texas, licensed in Texas (19097) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1417067497
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MAKOTO SAIGUSACredential: D.M.D, M.D.
Location Address805 TURTLE CREEK DRTyler, TX 75701-1937
Mailing Address805 Turtle Creek DrTyler, TX 75701-1937 · (903) 592-1664 · Fax (903) 592-6595
Phone(903) 592-1664
Fax(903) 592-6595
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1995
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 23, 20237 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1417067497 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 TX · 19097
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 K0551 (TX), 19097 (TX)
805 TURTLE CREEK DR, Tyler, TX 75701
Open in Google Maps ↗

Secondary Practice Location 1

Location 16 Doctor CirLongview, TX 75605-5050 · Phone (903) 592-1664 · Fax (903) 593-4269

Other Identifiers 5

Medicaid090187801TX
Medicaid090187803TX
Other133237107TX · Cshcn
Medicaid090187802TX
Medicaid090187804TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Makoto Saigusa D.m.d, M.d. 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 ID7012983331
PECOS Enrollment IDI20040910000566
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Makoto Saigusa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tyler Oral & Facial Surgery Inc.
Same address
Oral and Maxillofacial Surgery
805 TURTLE CREEK DR
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1568654077 (903) 592-1664
Turtle Creek Surgery Center, LLC
Same address
Ambulatory Surgical
801 TURTLE CREEK DR
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1437420270 (903) 592-1664
Etmc Physician Group Inc.
0.1 mi
Cardiovascular Disease
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 636 clinicians in this Medicare group
NPI 1609382662 (903) 590-5611

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
20 services20 patients
Anesthesia for other procedure on mouth 00170
Anesthesia for a mouth procedure involves administering medication to prevent pain during the treatment. It could be local, numbing a specific area, or general, where you're unconscious. It ensures a comfortable, pain-free experience during your dental or oral surgery.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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.

Other Providers at the Same Location NPPES 7

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

DR. KOURT BEAU CHATELAIN DMD
Dentist (Oral and Maxillofacial Surgery)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664
DR. RYAN M HINKLE D.D.S, MD
Dentist (Oral and Maxillofacial Surgery)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664
TYLER ORAL & FACIAL SURGERY INC.
Dentist (Oral and Maxillofacial Surgery)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664
MR. JAYSON J TERRES DDS, MD, FACS, FAACS
Dentist (Oral and Maxillofacial Surgery)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664
TURTLE CREEK SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664
DR. DANIELLE ZOYA JAUL DDS
Dentist (Oral and Maxillofacial Surgery)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664
DR. JAMES BARRY HOLTON D.D.S., M.S.D.
Dentist (Oral and Maxillofacial Pathology)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664

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 Makoto Saigusa's NPI number?

The NPI number for Makoto Saigusa is 1417067497. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Makoto Saigusa located?

Makoto Saigusa practices at 805 Turtle Creek Dr, Tyler, TX 75701. The listed phone number is (903) 592-1664.

What is Makoto Saigusa's specialty?

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

Is Makoto Saigusa enrolled in Medicare?

Yes. Makoto Saigusa 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.

Which organizations bill Medicare for Makoto Saigusa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Makoto Saigusa reassigns Medicare benefits to 3 organizations: Tyler Oral & Facial Surgery Inc. (Tyler, TX), Turtle Creek Surgery Center, LLC (Tyler, TX) and Etmc Physician Group Inc. (Tyler, TX). Each 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 Makoto Saigusa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Makoto Saigusa accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Makoto Saigusa 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.

Is Makoto Saigusa affiliated with any hospitals?

According to CMS data, Makoto Saigusa is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Makoto Saigusa was last updated on February 23, 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.