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DR. JEREMY D LELAND DDS MD
NPI 1629251624
Dentist - Oral and Maxillofacial Surgery in Georgetown, TX

Active since December 12, 2007Opted out of Medicare · through Jan 15, 2028
3622 WILLIAMS DR, BLDG 1, GEORGETOWN, TX 78628(512) 869-0529(512) 498-0154 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeremy D Leland Dds Md NPPES

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

DR. JEREMY D LELAND DDS MD (NPI 1629251624) is an individual oral and maxillofacial surgery provider in Georgetown, Texas, licensed in Texas (23361) and active in the NPI registry since December 2007. He has opted out of Medicare through January 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629251624
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JEREMY D LELANDCredential: DDS MD
Location Address3622 WILLIAMS DR, BLDG 1Georgetown, TX 78628-2415
Mailing AddressPo Box 49500Austin, TX 78765-9500 · (512) 454-1220 · Fax (512) 467-0363
Phone(512) 869-0529
Fax(512) 498-0154
Sole ProprietorNo
Enumeration DateDecember 12, 2007
Last NPPES UpdateSeptember 19, 2013
✔ NPI 1629251624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 23361
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 23361 (TX)
3622 WILLIAMS DR, Georgetown, TX 78628
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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. Jeremy D Leland Dds Md 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 January 15, 2024 through January 15, 2028.

Opt-Out Effective DateJanuary 15, 2024
Opt-Out In Effect ThroughJanuary 15, 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 78628 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 2

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

DR. GREGORY N BURROUGHS DDS
Dentist (Oral and Maxillofacial Surgery)
3622 WILLIAMS DR, BUILDING 1
GEORGETOWN, TX 78628
Williamson County (512) 869-0529
DR. WILLIAM C CAIN DDS
Dentist (Oral and Maxillofacial Pathology)
3622 WILLIAMS DR, BLDG 1
GEORGETOWN, TX 78628
Williamson County (512) 869-0529

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 Jeremy Leland's NPI number?

The NPI number for Jeremy Leland is 1629251624. It was assigned to this individual provider in the NPPES registry on December 12, 2007.

Where is Jeremy Leland located?

Jeremy Leland practices at 3622 Williams Dr Bldg 1, Georgetown, TX 78628. The listed phone number is (512) 869-0529.

What is Jeremy Leland's specialty?

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

Is Jeremy Leland enrolled in Medicare?

No. Jeremy Leland has opted out of Medicare through January 15, 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.

What insurance does Jeremy Leland accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and HRI Dental & Vision and 3 other insurers list Jeremy Leland 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 Jeremy Leland was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.