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DR. GEORGE WAYNE HALTOM III DDS
NPI 1619051968
Dentist - Oral and Maxillofacial Surgery in Glenwood Springs, CO

Active since October 24, 2006Opted out of Medicare · through May 31, 2028
406 S HYLAND PARK DRIVE, SUITE B, GLENWOOD SPRINGS, CO 81601(970) 945-9644(970) 945-0760 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. George Wayne Haltom Iii Dds NPPES

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

DR. GEORGE WAYNE HALTOM III DDS (NPI 1619051968) is an individual oral and maxillofacial surgery provider in Glenwood Springs, Colorado, licensed in Colorado (HD104468) and active in the NPI registry since October 2006. He has opted out of Medicare through May 31, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619051968
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GEORGE WAYNE HALTOM IIICredential: DDS
Location Address406 S HYLAND PARK DRIVE, SUITE BGlenwood Springs, CO 81601-4274
Mailing Address406 S Hyland Park Drive, Suite BGlenwood Springs, CO 81601-4274 · (970) 945-9644 · Fax (970) 945-0760
Phone(970) 945-9644
Fax(970) 945-0760
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1619051968 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 CO · HD104468
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.
406 S HYLAND PARK DRIVE, Glenwood Springs, CO 81601
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINC71865CO
Medicare ID-Type Unspecified71865CO

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. George Wayne Haltom 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 May 31, 2016 through May 31, 2028.

Opt-Out Effective DateMay 31, 2016
Opt-Out In Effect ThroughMay 31, 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 81601 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 George Haltom's NPI number?

The NPI number for George Haltom is 1619051968. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is George Haltom located?

George Haltom practices at 406 S Hyland Park Drive Suite B, Glenwood Springs, CO 81601. The listed phone number is (970) 945-9644.

What is George Haltom's specialty?

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

Is George Haltom enrolled in Medicare?

No. George Haltom has opted out of Medicare through May 31, 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 George Haltom was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.