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DR. BLAKE HOEDEBECKE DDS, MS
NPI 1588924294
Dentist - Periodontics in Jbsa Lackland, TX

Active since May 29, 2012PECOS Enrolled
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236(210) 292-7208 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2023, Aug 20, 2020, Apr 24, 2018 (3 updates tracked since 2018).

About Dr. Blake Hoedebecke Dds, Ms NPPES

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

DR. BLAKE HOEDEBECKE DDS, MS (NPI 1588924294) is an individual periodontics provider in Jbsa Lackland, Texas, licensed in Texas (28143) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588924294
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BLAKE HOEDEBECKECredential: DDS, MS
Location Address1100 WILFORD HALL LOOPJbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall LoopJbsa Lackland, TX 78236-5638 · (210) 292-7208
Phone(210) 292-7208
Sole ProprietorNo
Enumeration DateMay 29, 2012
Last NPPES UpdateJune 6, 20233 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1588924294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 28143
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.
1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blake Hoedebecke 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78236 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 20

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

DR. HENRY ANDREW FOERSTER DMD
Dentist (Periodontics)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6990
HEIDI DEARBORN DO
Dermatology
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5350
PARAMJIT BHULLAR MD
Ophthalmology (Cornea and External Diseases Specialist)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 916-9900
SARAH MCDONALD MD
Pediatrics
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-4277
DANIEL ALLAN WEIDNER DO
Emergency Medicine
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-3403
THOMAS BERNARD HOLLAND PSY. D
Psychologist (Clinical)
1100 WILFORD HALL LOOP
SAN ANTONIO, TX 78236
Bexar County (304) 702-5431
MICHELL ALEXANDRE LLERENA
Psychiatry & Neurology (Psychiatry)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 997-2060
MS. KIMBERLY K MORGAN APN
Nurse Practitioner (Family)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 925-8318

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 Blake Hoedebecke's NPI number?

The NPI number for Blake Hoedebecke is 1588924294. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Where is Blake Hoedebecke located?

Blake Hoedebecke practices at 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-7208.

What is Blake Hoedebecke's specialty?

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

Is Blake Hoedebecke enrolled in Medicare?

Yes. Blake Hoedebecke is registered in the Medicare PECOS enrollment system.

What insurance does Blake Hoedebecke accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Blake Hoedebecke 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 Blake Hoedebecke was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.