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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Makoto Saigusa was last updated on February 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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, maintains a secondary practice location in Longview, and is a graduate of University Of Texas Medical School At San Antonio (1995).

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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

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.

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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)