DR. JACK E GOTCHER JR. D.M.D,PH.D.
NPI 1619967676
Dentist - Oral and Maxillofacial Surgery in Knoxville, TN

Q: What is Jack Gotcher's NPI number?

The NPI number for Jack Gotcher is 1619967676. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Q: What is Jack Gotcher's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Gotcher was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment

95.69/100

CMS Quality Rating

1928 ALCOA HWY, SUITE 305, KNOXVILLE, TN 37920(865) 305-6625(865) 305-6628 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jack E Gotcher Jr. D.m.d,ph.d. NPPES

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

DR. JACK E GOTCHER JR. D.M.D,PH.D. (NPI 1619967676) is an individual oral and maxillofacial surgery provider in Knoxville, Tennessee, licensed in Tennessee (DS0000003654) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Harvard Medical School (1975).

NPPES Registry Identity

NPI1619967676

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JACK E GOTCHER JR.Credential: D.M.D,PH.D.

Location Address1928 ALCOA HWY, SUITE 305Knoxville, TN 37920-1502

Mailing AddressPo Box 440103Nashville, TN 37244-0103 · (865) 670-6199 · Fax (865) 670-6188

Phone(865) 305-6625

Fax(865) 305-6628

Sole ProprietorYes

Medical School CMSHarvard Medical SchoolGraduated 1975

Enumeration DateOctober 21, 2005

Last NPPES UpdateNovember 4, 2010

✔ NPI 1619967676 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 · DS0000003654

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.

1928 ALCOA HWY, Knoxville, TN 37920

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Other Identifiers 2

Medicaid3224964TN

Medicare PIN3224964TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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 and accepts Medicare assignment

Dr. Jack E Gotcher Jr. D.m.d,ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597678342

PECOS Enrollment IDI20101222000145

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

25 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Removal of growth of mouth with simple repair 40812

This procedure involves the surgical removal of an abnormal growth in the mouth. After the growth is removed, a simple repair is done to heal the area. This can include stitches or other methods to close the wound, promoting quick and effective healing.

13 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System, Inc

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440015

Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.28

Promoting Interoperability

100

Improvement Activities

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. KATHERINE BONNER KAAK MD

Student in an Organized Health Care Education/Training Program

1928 ALCOA HWY
KNOXVILLE, TN 37920

Knox County (865) 305-8787

DR. MARK D ANDERSON MD

Internal Medicine (Gastroenterology)

1928 ALCOA HWY, B100
KNOXVILLE, TN 37920

Knox County (865) 544-6570

DR. DREW WILSON MILLER M.D.

Dermatology (MOHS-Micrographic Surgery)

1928 ALCOA HWY, STE 209
KNOXVILLE, TN 37920

Knox County (865) 524-2547

THOMAS L YOUNG MD

Internal Medicine (Gastroenterology)

1928 ALCOA HWY, STE 105
KNOXVILLE, TN 37920

Knox County (865) 305-9595

KNOXVILLE DERMATOLOGY GROUP PC

Dermatology

1928 ALCOA HWY, SUITE 209
KNOXVILLE, TN 37920

Knox County (865) 690-9467

DR. JACLYN BETH VAN NES M.D.

Obstetrics & Gynecology

1928 ALCOA HWY, MEDICAL BUILDING B SUITE 300
KNOXVILLE, TN 37920

Knox County (865) 305-9799

HUMBERTO RODRIGUEZ MD

Obstetrics & Gynecology (Gynecology)

1928 ALCOA HWY, STE 303
KNOXVILLE, TN 37920

Knox County (865) 305-9305

UNIVERSITY HEALTH SYSTEM, INC

Psychiatry & Neurology (Neurology)

1928 ALCOA HWY, STE 102
KNOXVILLE, TN 37920

Knox County (865) 305-6640

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 Jack Gotcher's NPI number?

The NPI number for Jack Gotcher is 1619967676. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Jack Gotcher located?

Jack Gotcher practices at 1928 Alcoa Hwy Suite 305, Knoxville, TN 37920. The listed phone number is (865) 305-6625.

What is Jack Gotcher's specialty?

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

Is Jack Gotcher enrolled in Medicare?

Yes. Jack Gotcher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jack Gotcher accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jack Gotcher 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.

Is Jack Gotcher affiliated with any hospitals?

According to CMS data, Jack Gotcher is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Jack Gotcher was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.