DR. TRAVIS A. WITHERINGTON DDS
NPI 1619952850
Dentist - Oral and Maxillofacial Surgery in Oak Ridge, TN

Q: What is Travis Witherington's NPI number?

The NPI number for Travis Witherington is 1619952850. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Q: What is Travis Witherington's specialty?

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

Q: Is Travis Witherington enrolled in Medicare?

No. Travis Witherington has opted out of Medicare through December 8, 2026. 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.

Active since December 09, 2005Opted out of Medicare · through Dec 8, 2026

140 E. DIVISION RD, SUITE A-1, OAK RIDGE, TN 37830(865) 482-5811(865) 482-8686 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Travis A. Witherington Dds NPPES

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

DR. TRAVIS A. WITHERINGTON DDS (NPI 1619952850) is an individual oral and maxillofacial surgery provider in Oak Ridge, Tennessee, licensed in Tennessee (DS0000002349) and active in the NPI registry since December 2005. He has opted out of Medicare through December 8, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619952850

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. TRAVIS A. WITHERINGTONCredential: DDS

Location Address140 E. DIVISION RD, SUITE A-1Oak Ridge, TN 37830

Mailing Address140 E. Division Rd, Suite A-1Oak Ridge, TN 37830 · (865) 482-5811 · Fax (865) 482-8686

Phone(865) 482-5811

Fax(865) 482-8686

Sole ProprietorNo

Enumeration DateDecember 9, 2005

Last NPPES UpdateJune 17, 2010

✔ NPI 1619952850 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 TN · DS0000002349

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.

140 E. DIVISION RD, Oak Ridge, TN 37830

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Other Identifiers 1

Medicare UPINT73966TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Travis A. Witherington 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 December 8, 2016 through December 8, 2026.

Opt-Out Effective DateDecember 8, 2016

Opt-Out In Effect ThroughDecember 8, 2026Opt-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 37830 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 Travis Witherington's NPI number?

The NPI number for Travis Witherington is 1619952850. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Travis Witherington located?

Travis Witherington practices at 140 E. Division Rd Suite A-1, Oak Ridge, TN 37830. The listed phone number is (865) 482-5811.

What is Travis Witherington's specialty?

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

Is Travis Witherington enrolled in Medicare?

No. Travis Witherington has opted out of Medicare through December 8, 2026. 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.

What insurance does Travis Witherington accept?

Health plans from BlueCross BlueShield of Tennessee list Travis Witherington 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 Travis Witherington was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.