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DR. GENE ALLEN VANDERVORT JR. D.D.S./M.D.
NPI 1679548010
Oral & Maxillofacial Surgery in Ashburn, VA

Active since February 21, 2006Opted out of Medicare · through Sep 24, 2027
44340 PREMIER PLAZA, SUITE 100, ASHBURN, VA 20147(703) 729-8700(703) 729-5300 Get Directions Write a Review

NPPES record last updated: July 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gene Allen Vandervort Jr. D.d.s./m.d. NPPES

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

DR. GENE ALLEN VANDERVORT JR. D.D.S./M.D. (NPI 1679548010) is an individual oral & maxillofacial surgery provider in Ashburn, Virginia, licensed in Virginia (0101102662) and active in the NPI registry since February 2006. He has opted out of Medicare through September 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679548010
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. GENE ALLEN VANDERVORT JR.Credential: D.D.S./M.D.
Location Address44340 PREMIER PLAZA, SUITE 100Ashburn, VA 20147-5074
Mailing Address44340 Premier Plaza, Suite 100Ashburn, VA 20147-5074 · (703) 729-8700 · Fax (703) 729-5300
Phone(703) 729-8700
Fax(703) 729-5300
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJuly 9, 2009
✔ NPI 1679548010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in VA · 0101102662
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
44340 PREMIER PLAZA, Ashburn, VA 20147
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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 Montana and more.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. Gene Allen Vandervort Jr. D.d.s./m.d. 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 September 24, 2013 through September 24, 2027.

Opt-Out Effective DateSeptember 24, 2013
Opt-Out In Effect ThroughSeptember 24, 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.

Other Providers at the Same Location NPPES

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

RUPINDER K. SETHI MD
Pediatrics
44340 PREMIER PLAZA, STE. 120
ASHBURN, VA 20147
Loudoun County (703) 723-4400

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 Gene Vandervort's NPI number?

The NPI number for Gene Vandervort is 1679548010. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Gene Vandervort located?

Gene Vandervort practices at 44340 Premier Plaza Suite 100, Ashburn, VA 20147. The listed phone number is (703) 729-8700.

What is Gene Vandervort's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Gene Vandervort enrolled in Medicare?

No. Gene Vandervort has opted out of Medicare through September 24, 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.

What insurance does Gene Vandervort accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Gene Vandervort 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 Gene Vandervort was last updated on July 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.