DR. DEREK J EATON D.D.S.
NPI 1477649432
Dentist - Oral and Maxillofacial Surgery in Gastonia, NC

Q: What is Derek Eaton's NPI number?

The NPI number for Derek Eaton is 1477649432. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Derek Eaton's specialty?

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

Q: Is Derek Eaton enrolled in Medicare?

No. Derek Eaton has opted out of Medicare through January 13, 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.

Q: When was this NPI record last updated?

The NPPES record for Derek Eaton was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 October 05, 2006Opted out of Medicare · through Jan 13, 2027

660 SUMMIT CROSSING PL, SUITE 303, GASTONIA, NC 28054(704) 865-0081(704) 865-6004 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Derek J Eaton D.d.s. NPPES

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

DR. DEREK J EATON D.D.S. (NPI 1477649432) is an individual oral and maxillofacial surgery provider in Gastonia, North Carolina, licensed in North Carolina (9225) and active in the NPI registry since October 2006. He has opted out of Medicare through January 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477649432

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. DEREK J EATONCredential: D.D.S.

Location Address660 SUMMIT CROSSING PL, SUITE 303Gastonia, NC 28054-2104

Mailing Address660 Summit Crossing Pl, Suite 303Gastonia, NC 28054-2104 · (704) 865-0081 · Fax (704) 865-6004

Phone(704) 865-0081

Fax(704) 865-6004

Sole ProprietorNo

Enumeration DateOctober 5, 2006

Last NPPES UpdateSeptember 23, 2011

✔ NPI 1477649432 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 NC · 9225

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 ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X · License 4005 (SC)

660 SUMMIT CROSSING PL, Gastonia, NC 28054

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Other Identifiers 1

MedicaidZX4005SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana 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. Derek J Eaton 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 January 13, 2015 through January 13, 2027.

Opt-Out Effective DateJanuary 13, 2015

Opt-Out In Effect ThroughJanuary 13, 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 28054 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 12

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

ELAINE AMBROSIO NP

Nurse Practitioner (Gerontology)

660 SUMMIT CROSSING PL
GASTONIA, NC 28054

Gaston County (980) 355-3774

PATRICIA CHERRY LDN

Dietitian, Registered (Nutrition, Metabolic)

660 SUMMIT CROSSING PL, SUITE #306
GASTONIA, NC 28054

Gaston County (704) 671-7830

EMILY RAYFIELD FNP

Nurse Practitioner (Family)

660 SUMMIT CROSSING PL
GASTONIA, NC 28054

Gaston County (704) 671-5400

RONALD WYMAN DIGBY M.D.

Internal Medicine

660 SUMMIT CROSSING PL
GASTONIA, NC 28054

Gaston County (704) 867-0735

DEREK J EATON DDS PLLC

Clinic/Center (Oral and Maxillofacial Surgery)

660 SUMMIT CROSSING PL, SUITE 303
GASTONIA, NC 28054

Gaston County (704) 865-0081

DAVID TIMOTHY THOMAS M.D.

Internal Medicine

660 SUMMIT CROSSING PL, SUITE 301
GASTONIA, NC 28054

Gaston County (704) 867-0735

RHODENNA M ARN FNP-C

Nurse Practitioner (Family)

660 SUMMIT CROSSING PL
GASTONIA, NC 28054

Gaston County (704) 867-0735

BRITTANY MORGAN PANGILINAN PA-C

Physician Assistant

660 SUMMIT CROSSING PL
GASTONIA, NC 28054

Gaston County (704) 671-7830

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 Derek Eaton's NPI number?

The NPI number for Derek Eaton is 1477649432. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Derek Eaton located?

Derek Eaton practices at 660 Summit Crossing Pl Suite 303, Gastonia, NC 28054. The listed phone number is (704) 865-0081.

What is Derek Eaton's specialty?

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

Is Derek Eaton enrolled in Medicare?

No. Derek Eaton has opted out of Medicare through January 13, 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 Derek Eaton accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Derek Eaton 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 Derek Eaton was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.