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DR. SCOTT ERIC TATE DDS, MS
NPI 1528166097
Dentist - Oral and Maxillofacial Surgery in South Bend, IN

Active since September 20, 2006PECOS Enrolled
707 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 289-0080(812) 323-9701 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Scott Eric Tate Dds, Ms NPPES

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

DR. SCOTT ERIC TATE DDS, MS (NPI 1528166097) is an individual oral and maxillofacial surgery provider in South Bend, Indiana, licensed in Indiana (IN12010196A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528166097
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SCOTT ERIC TATECredential: DDS, MS
Location Address707 N MICHIGAN STSouth Bend, IN 46601-1067
Mailing Address707 N Michigan StSouth Bend, IN 46601-1067 · (812) 323-9700 · Fax (812) 323-9701
Phone(574) 289-0080
Fax(812) 323-9701
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1528166097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IN · IN12010196A
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.
707 N MICHIGAN ST, South Bend, IN 46601
Open in Google Maps ↗

Other Identifiers 1

Medicaid200494170IN

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott Eric Tate Dds, 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.

Medicare Billing Reassignment

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

Oral Surgery Associates & Dental Implant Center PC
565 mi
Oral and Maxillofacial Surgery
1463 KLONDIKE RD, STE C
Conyers, GA 30094
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
NPI 1003924788 (770) 483-9692

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

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 straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 18

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

BETH ANN HAYDEN FNP
Nurse Practitioner (Psychiatric/Mental Health)
707 N MICHIGAN ST, STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8470
DR. STEVE L GERBER M.D.
Ophthalmology
707 N MICHIGAN ST, STE 210
SOUTH BEND, IN 46601
St. Joseph County (574) 233-2114
MICHIANA ORAL &MAXILLOFACIAL SURGERY LLC
Dentist (Oral and Maxillofacial Surgery)
707 N MICHIGAN ST, SUITE 300
SOUTH BEND, IN 46601
St. Joseph County (574) 289-0080
JOHN J HASKIN JR. M.D.
Psychiatry & Neurology (Psychiatry)
707 N MICHIGAN ST, STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8470
BEACON MEDICAL GROUP INC
Internal Medicine (Rheumatology)
707 N MICHIGAN ST, SUITE 102
SOUTH BEND, IN 46601
St. Joseph County (574) 647-4500
JAGADEESH REDDY M.D.
Psychiatry & Neurology (Psychiatry)
707 N MICHIGAN ST, STE 400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-8470
ADVANCED CENTER FOR CARDIOTHORACIC SURGERY LLC
Clinic/Center (Medical Specialty)
707 N MICHIGAN ST, 503
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6500
CARDIOTHORACIC SURGERY, P.C.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
707 N MICHIGAN ST, SUITE 501
SOUTH BEND, IN 46601
St. Joseph County (574) 237-0644

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 Scott Tate's NPI number?

The NPI number for Scott Tate is 1528166097. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Scott Tate located?

Scott Tate practices at 707 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 289-0080.

What is Scott Tate's specialty?

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

Is Scott Tate enrolled in Medicare?

Yes. Scott Tate is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Scott Tate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Tate reassigns Medicare benefits to Oral Surgery Associates & Dental Implant Center PC (Conyers, GA). 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 Scott Tate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Tate 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, CareSource and Delta Dental of Indiana and 4 other insurers list Scott Tate 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 Scott Tate was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.