1. Home
  2. Directory
  3. Oregon
  4. Eugene
  5. Dentist
  6. NPI Profile

DR. THOMAS MATTHEW JACKS DDS
NPI 1568442820
Dentist - Oral and Maxillofacial Surgery in Eugene, OR

Active since January 20, 2006Opted out of Medicare · through Jan 4, 2027
2650 SUZANNE WAY STE 110, EUGENE, OR 97408(541) 726-4690 Get Directions Write a Review

NPPES record last updated: February 15, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Thomas Matthew Jacks Dds NPPES

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

DR. THOMAS MATTHEW JACKS DDS (NPI 1568442820) is an individual oral and maxillofacial surgery provider in Eugene, Oregon, licensed in Oregon (D10665) and active in the NPI registry since January 2006. He has opted out of Medicare through January 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1568442820
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. THOMAS MATTHEW JACKSCredential: DDS
Location Address2650 SUZANNE WAY STE 110Eugene, OR 97408-7619
Mailing Address34362 Deerwood DrEugene, OR 97405-9662 · (301) 943-0945
Phone(541) 726-4690
Sole ProprietorYes
Enumeration DateJanuary 20, 2006
Last NPPES UpdateFebruary 15, 2018
✔ NPI 1568442820 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 OR · D10665
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.
2650 SUZANNE WAY STE 110, Eugene, OR 97408
Open in Google Maps ↗

Other Identifiers 1

Other823753470OR · Tax Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Thomas Matthew Jacks 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 January 4, 2013 through January 4, 2027.

Opt-Out Effective DateJanuary 4, 2013
Opt-Out In Effect ThroughJanuary 4, 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 97408 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 Thomas Jacks's NPI number?

The NPI number for Thomas Jacks is 1568442820. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Thomas Jacks located?

Thomas Jacks practices at 2650 Suzanne Way Ste 110, Eugene, OR 97408. The listed phone number is (541) 726-4690.

What is Thomas Jacks's specialty?

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

Is Thomas Jacks enrolled in Medicare?

No. Thomas Jacks has opted out of Medicare through January 4, 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.

When was this NPI record last updated?

The NPPES record for Thomas Jacks was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.