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DR. JAROM JOSEPH RAY D.D.S.
NPI 1619170271
Dentist - Endodontics in Usaf Academy, CO

Active since June 08, 2007Opted out of Medicare · through Aug 14, 2027
2355B FACULTY DR, USAF ACADEMY, CO 80840(719) 373-0733 Get Directions Write a Review

NPPES record last updated: March 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2021, Jul 10, 2018 (2 updates tracked since 2018).

About Dr. Jarom Joseph Ray D.d.s. NPPES

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

DR. JAROM JOSEPH RAY D.D.S. (NPI 1619170271) is an individual endodontics provider in Usaf Academy, Colorado, licensed in Utah (5371953-9921) and active in the NPI registry since June 2007. He has opted out of Medicare through August 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619170271
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JAROM JOSEPH RAYCredential: D.D.S.
Location Address2355B FACULTY DRUsaf Academy, CO 80840-1802
Mailing Address2355b Faculty DrUsaf Academy, CO 80840-1802 · (719) 373-0733
Phone(719) 373-0733
Sole ProprietorNo
Enumeration DateJune 8, 2007
Last NPPES UpdateMarch 13, 20212 updates tracked since enumeration
NPPES CertifiedMarch 13, 2021
✔ NPI 1619170271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in UT · 5371953-9921
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 5371953-9921 (UT)
2355B FACULTY DR, Usaf Academy, CO 80840
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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. Jarom Joseph Ray D.d.s. 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 August 14, 2025 through August 14, 2027.

Opt-Out Effective DateAugust 14, 2025
Opt-Out In Effect ThroughAugust 14, 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 80840 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.

Other Providers at the Same Location NPPES 3

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

DR. HENRY ALLEN TOUCHTON D.D.S
Dentist (General Practice)
2355B FACULTY DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-5977
DR. MAYSARA USAMA NASSAR DMD
Dentist
2355B FACULTY DR
US AIR FORCE, CO 80840
El Paso County (719) 333-5192
DR. ANUP H SHAH DMD
Dentist
2355B FACULTY DR
UNITED STATES AIR FORCE ACAD, CO 80840
El Paso County (719) 333-5192

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 Jarom Ray's NPI number?

The NPI number for Jarom Ray is 1619170271. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Jarom Ray located?

Jarom Ray practices at 2355B Faculty Dr, Usaf Academy, CO 80840. The listed phone number is (719) 373-0733.

What is Jarom Ray's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jarom Ray enrolled in Medicare?

No. Jarom Ray has opted out of Medicare through August 14, 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 Jarom Ray was last updated on March 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.