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

Active since December 12, 2007PECOS Enrolled
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: July 19, 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 is enrolled in Medicare PECOS.

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
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

Accepted 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, 2026.

Opt-Out Effective DateJanuary 15, 2024
Opt-Out In Effect ThroughJanuary 15, 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit, 15-29 minutes 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
14 services14 patients

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.

Dentist (Oral and Maxillofacial Surgery)
3622 WILLIAMS DR, BUILDING 1
GEORGETOWN, TX 78628
Dentist (Oral and Maxillofacial Pathology)
3622 WILLIAMS DR, BLDG 1
GEORGETOWN, TX 78628

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629251624, enumerated as an "individual" on December 12, 2007.

The provider is located at 3622 WILLIAMS DR BLDG 1 GEORGETOWN, TX 78628 and the phone number is (512) 869-0529.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.