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DR. PATRICK M JAECKLE D.D.S.
NPI 1508172412
Dentist in Spicewood, TX

Active since August 30, 2010PECOS Enrolled
311 ANGEL SONG CV, SPICEWOOD, TX 78669(512) 784-8343 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Patrick M Jaeckle D.d.s. NPPES

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

DR. PATRICK M JAECKLE D.D.S. (NPI 1508172412) is an individual dentist in Spicewood, Texas, licensed in Texas (14647) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508172412
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PATRICK M JAECKLECredential: D.D.S.
Location Address311 ANGEL SONG CVSpicewood, TX 78669-6710
Mailing Address5000 W Slaughter Ln Bldg 2Austin, TX 78749-3997 · (512) 652-5600
Phone(512) 784-8343
Sole ProprietorYes
Enumeration DateAugust 30, 2010
✔ NPI 1508172412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 14647
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
311 ANGEL SONG CV, Spicewood, TX 78669
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Accepted Insurance

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

Dr. Patrick M Jaeckle D.d.s. 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.

Medicare Billing Reassignment

Medicare enrollment records show Patrick Jaeckle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ysleta Del Sur Pueblo Community Health Center
500 mi
Public Health, Federal
9473 SOCORRO RD
El Paso, TX 79907
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
NPI 1144390147 (915) 860-6113

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78669 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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 Patrick Jaeckle's NPI number?

The NPI number for Patrick Jaeckle is 1508172412. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Where is Patrick Jaeckle located?

Patrick Jaeckle practices at 311 Angel Song Cv, Spicewood, TX 78669. The listed phone number is (512) 784-8343.

What is Patrick Jaeckle's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Patrick Jaeckle enrolled in Medicare?

Yes. Patrick Jaeckle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patrick Jaeckle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Jaeckle reassigns Medicare benefits to Ysleta Del Sur Pueblo Community Health Center (El Paso, TX). The 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 Patrick Jaeckle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Jaeckle accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Patrick Jaeckle 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 Patrick Jaeckle was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.