DR. BOBBY LEE COCKERHAM III D.D.S, M.S.D
NPI 1689969016
Dentist - Periodontics in Charlotte, NC

Q: What is Bobby Cockerham's NPI number?

The NPI number for Bobby Cockerham is 1689969016. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Q: What is Bobby Cockerham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Bobby Cockerham enrolled in Medicare?

No. Bobby Cockerham has opted out of Medicare through June 20, 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.

Q: When was this NPI record last updated?

The NPPES record for Bobby Cockerham was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 14, 2011Opted out of Medicare · through Jun 20, 2028

6719 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 366-2774 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Bobby Lee Cockerham Iii D.d.s, M.s.d NPPES

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

DR. BOBBY LEE COCKERHAM III D.D.S, M.S.D (NPI 1689969016) is an individual periodontics provider in Charlotte, North Carolina, licensed in North Carolina (9124) and active in the NPI registry since June 2011. He has opted out of Medicare through June 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689969016

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. BOBBY LEE COCKERHAM IIICredential: D.D.S, M.S.D

Location Address6719 FAIRVIEW RDCharlotte, NC 28210-3879

Mailing Address6719 Fairview RdCharlotte, NC 28210-3879 · (704) 366-2774

Phone(704) 366-2774

Sole ProprietorYes

Enumeration DateJune 14, 2011

Last NPPES UpdateSeptember 13, 2018

✔ NPI 1689969016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in NC · 9124

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

6719 FAIRVIEW RD, Charlotte, NC 28210

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

ⓘ

Opted out of Medicare

Dr. Bobby Lee Cockerham Iii D.d.s, M.s.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 June 20, 2016 through June 20, 2028.

Opt-Out Effective DateJune 20, 2016

Opt-Out In Effect ThroughJune 20, 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 28210 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 4

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

B.L. COCKERHAM III & ASSOCIATES PLLC

Dentist (Periodontics)

6719 FAIRVIEW RD
CHARLOTTE, NC 28210

Mecklenburg County (704) 366-2774

DR. RICHARD E OFFUTT III DDS

Dentist (Periodontics)

6719 FAIRVIEW RD
CHARLOTTE, NC 28210

Mecklenburg County (704) 366-2774

RICHARD E. OFFUTT, DDS, PA

Dentist (Periodontics)

6719 FAIRVIEW RD
CHARLOTTE, NC 28210

Mecklenburg County (704) 366-2774

ASHLEY ALEXANDRA PATER

Dentist (Periodontics)

6719 FAIRVIEW RD
CHARLOTTE, NC 28210

Mecklenburg County (704) 366-2774

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 Bobby Cockerham's NPI number?

The NPI number for Bobby Cockerham is 1689969016. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Bobby Cockerham located?

Bobby Cockerham practices at 6719 Fairview Rd, Charlotte, NC 28210. The listed phone number is (704) 366-2774.

What is Bobby Cockerham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Bobby Cockerham enrolled in Medicare?

No. Bobby Cockerham has opted out of Medicare through June 20, 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 Bobby Cockerham 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 NC and 13 other insurers list Bobby Cockerham 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 Bobby Cockerham was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.