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DR. DUSTIN C HEDGPETH D.M.D., M.S.D.
NPI 1548518574
Dentist - Periodontics in Pooler, GA

Active since August 23, 2012Opted out of Medicare · through Nov 1, 2027
107 GRAND CENTRAL BLVD, SUITE 206, POOLER, GA 31322(912) 988-1907(912) 988-7689 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dustin C Hedgpeth D.m.d., M.s.d. NPPES

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

DR. DUSTIN C HEDGPETH D.M.D., M.S.D. (NPI 1548518574) is an individual periodontics provider in Pooler, Georgia, licensed in Georgia (DN014619) and active in the NPI registry since August 2012. He has opted out of Medicare through November 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548518574
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DUSTIN C HEDGPETHCredential: D.M.D., M.S.D.
Location Address107 GRAND CENTRAL BLVD, SUITE 206Pooler, GA 31322-4147
Mailing Address107 Grand Central Blvd, Suite 206Pooler, GA 31322-4147 · (912) 988-1907 · Fax (912) 988-7689
Phone(912) 988-1907
Fax(912) 988-7689
Sole ProprietorNo
Enumeration DateAugust 23, 2012
Last NPPES UpdateOctober 23, 2014
✔ NPI 1548518574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in GA · DN014619
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 3540-10 (MS)
107 GRAND CENTRAL BLVD, Pooler, GA 31322
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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Dustin C Hedgpeth D.m.d., M.s.d. 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 November 1, 2015 through November 1, 2027.

Opt-Out Effective DateNovember 1, 2015
Opt-Out In Effect ThroughNovember 1, 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 31322 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 Dustin Hedgpeth's NPI number?

The NPI number for Dustin Hedgpeth is 1548518574. It was assigned to this individual provider in the NPPES registry on August 23, 2012.

Where is Dustin Hedgpeth located?

Dustin Hedgpeth practices at 107 Grand Central Blvd Suite 206, Pooler, GA 31322. The listed phone number is (912) 988-1907.

What is Dustin Hedgpeth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Dustin Hedgpeth enrolled in Medicare?

No. Dustin Hedgpeth has opted out of Medicare through November 1, 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 Dustin Hedgpeth accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina list Dustin Hedgpeth 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 Dustin Hedgpeth was last updated on October 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.