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THOMAS BLAKE KILGORE DMD
NPI 1568470581
Dentist - Oral and Maxillofacial Surgery in Boston, MA

Active since August 04, 2006PECOS Enrolled
100 EAST NEWTON STREET, ROOM 407, BOSTON, MA 02118(617) 638-4650(617) 638-4970 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas Blake Kilgore Dmd NPPES

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

THOMAS BLAKE KILGORE DMD (NPI 1568470581) is an individual oral and maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (11211) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568470581
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTHOMAS BLAKE KILGORECredential: DMD
Location Address100 EAST NEWTON STREET, ROOM 407Boston, MA 02118-2526
Mailing Address715 Albany St, Robinson Building B307Boston, MA 02118-2526 · (617) 638-4650 · Fax (617) 638-4970
Phone(617) 638-4650
Fax(617) 638-4970
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568470581 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 MA · 11211
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.
100 EAST NEWTON STREET, Boston, MA 02118
Open in Google Maps ↗

Other Identifiers 5

OtherX03644MA · Bcbs
Medicaid0252921MA
Medicare UPINT57041
Other16311UHHarvard
Medicare ID-Type UnspecifiedX03644

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, 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)

Thomas Blake Kilgore Dmd 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 Thomas Kilgore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trustees Of Boston University
Same address
Oral and Maxillofacial Surgery
100 E NEWTON ST, G407
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 42 clinicians in this Medicare group
NPI 1154331916 (617) 638-4352

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 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 5

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

DR. JEROME SURMENIAN DDS
Dentist (Periodontics)
100 EAST NEWTON STREET, BOSTON UNIVERSITY DENTAL SCHOOL
BOSTON, MA 02118
Suffolk County (617) 638-4750
DR. LURI LEE D.M.D
Dentist
100 EAST NEWTON STREET, 7TH FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-4670
RAED ALROWIS
Dentist
100 EAST NEWTON STREET
BOSTON, MA 02118
Suffolk County (617) 638-4762
REWA ABULHAMAYEL
Student in an Organized Health Care Education/Training Program
100 EAST NEWTON STREET
BOSTON, MA 02118
Suffolk County (617) 358-3446
CHI-CHEN HSU
Dentist (Prosthodontics)
100 EAST NEWTON STREET
BOSTON, MA 02118
Suffolk County (617) 638-5429

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 Kilgore's NPI number?

The NPI number for Thomas Kilgore is 1568470581. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Thomas Kilgore located?

Thomas Kilgore practices at 100 East Newton Street Room 407, Boston, MA 02118. The listed phone number is (617) 638-4650.

What is Thomas Kilgore's specialty?

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

Is Thomas Kilgore enrolled in Medicare?

Yes. Thomas Kilgore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Kilgore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Kilgore reassigns Medicare benefits to Trustees Of Boston University (Boston, MA). 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 Thomas Kilgore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Kilgore accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Thomas Kilgore 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 Thomas Kilgore 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.