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DR. JACK T KAYTON III DDS
NPI 1548286131
Dentist - General Practice in Charlottesville, VA

Active since July 15, 2006Opted out of Medicare · through Apr 21, 2028
315 OLD IVY WAY, SUITE 101, CHARLOTTESVILLE, VA 22903(434) 977-3939(434) 984-1728 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jack T Kayton Iii Dds NPPES

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

DR. JACK T KAYTON III DDS (NPI 1548286131) is an individual general practice provider in Charlottesville, Virginia, licensed in Virginia (0401007877) and active in the NPI registry since July 2006. He has opted out of Medicare through April 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548286131
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK T KAYTON IIICredential: DDS
Location Address315 OLD IVY WAY, SUITE 101Charlottesville, VA 22903-4894
Mailing Address315 Old Ivy Way, Suite 101Charlottesville, VA 22903-4894 · (434) 977-3939 · Fax (434) 984-1728
Phone(434) 977-3939
Fax(434) 984-1728
Sole ProprietorYes
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548286131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401007877
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
315 OLD IVY WAY, Charlottesville, VA 22903
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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. Jack T Kayton Iii Dds 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 April 21, 2016 through April 21, 2028.

Opt-Out Effective DateApril 21, 2016
Opt-Out In Effect ThroughApril 21, 2028Opt-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 22903 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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

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

JACK T. KAYTON III,DDS, PLLC
Dentist (General Practice)
315 OLD IVY WAY, SUITE 101
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 977-3939

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 Jack Kayton's NPI number?

The NPI number for Jack Kayton is 1548286131. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Jack Kayton located?

Jack Kayton practices at 315 Old Ivy Way Suite 101, Charlottesville, VA 22903. The listed phone number is (434) 977-3939.

What is Jack Kayton's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jack Kayton enrolled in Medicare?

No. Jack Kayton has opted out of Medicare through April 21, 2028. 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.

When was this NPI record last updated?

The NPPES record for Jack Kayton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.