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JACOB ELDON FRAZIER DMD, MS
NPI 1497043178
Dentist - Endodontics in Lebanon, IL

Active since July 15, 2011PECOS Enrolled
110 WAKANDA DR, LEBANON, IL 62254(618) 808-0511(618) 808-0533 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2023, Nov 27, 2017 (2 updates tracked since 2017).

About Jacob Eldon Frazier Dmd, Ms NPPES

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

JACOB ELDON FRAZIER DMD, MS (NPI 1497043178) is an individual endodontics provider in Lebanon, Illinois, licensed in Illinois (021.002661) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497043178
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameJACOB ELDON FRAZIERCredential: DMD, MS
Location Address110 WAKANDA DRLebanon, IL 62254-1393
Mailing Address110 Wakanda DrLebanon, IL 62254-1393 · (618) 808-0511 · Fax (618) 808-0533
Phone(618) 808-0511
Fax(618) 808-0533
Sole ProprietorYes
Enumeration DateJuly 15, 2011
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1497043178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in IL · 021.002661
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019028757 (IL)
110 WAKANDA DR, Lebanon, IL 62254
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Jacob Eldon Frazier Dmd, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62254 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 Jacob Frazier's NPI number?

The NPI number for Jacob Frazier is 1497043178. It was assigned to this individual provider in the NPPES registry on July 15, 2011.

Where is Jacob Frazier located?

Jacob Frazier practices at 110 Wakanda Dr, Lebanon, IL 62254. The listed phone number is (618) 808-0511.

What is Jacob Frazier's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jacob Frazier enrolled in Medicare?

Yes. Jacob Frazier is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Frazier accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Jacob Frazier 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 Jacob Frazier was last updated on July 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.