ROBERT L BROCKETT D.M.D.
NPI 1730287616
Dentist - Oral and Maxillofacial Surgery in Crystal River, FL

Active since September 21, 2006Opted out of Medicare · through Jan 1, 2027
6129 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429(352) 795-4994(352) 795-4609 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert L Brockett D.m.d. NPPES

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

ROBERT L BROCKETT D.M.D. (NPI 1730287616) is an individual oral and maxillofacial surgery provider in Crystal River, Florida, licensed in Florida (DN 8810) and active in the NPI registry since September 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730287616
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameROBERT L BROCKETTCredential: D.M.D.
Location Address6129 W CORPORATE OAKS DRCrystal River, FL 34429-8732
Mailing Address6129 W Corporate Oaks DrCrystal River, FL 34429-8732 · (352) 795-4994 · Fax (352) 795-4609
Fax(352) 795-4609
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1730287616 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 FL · DN 8810
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.
6129 W CORPORATE OAKS DR, Crystal River, FL 34429

Other Identifiers 3

Medicare ID-Type Unspecified67114FL
Medicaid073131500FL
Medicare UPINT96441FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Robert L Brockett D.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 January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015
Opt-Out In Effect ThroughJanuary 1, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34429 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Nurse Practitioner
6129 W CORPORATE OAKS DR
CRYSTAL RIVER, FL 34429
Dentist (Oral and Maxillofacial Surgery)
6129 W CORPORATE OAKS DR
CRYSTAL RIVER, FL 34429
Dentist (Oral and Maxillofacial Surgery)
6129 W CORPORATE OAKS DR
CRYSTAL RIVER, FL 34429
Nurse Practitioner (Family)
6129 W CORPORATE OAKS DR
CRYSTAL RIVER, FL 34429

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 Robert Brockett's NPI number?

The NPI number for Robert Brockett is 1730287616. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Robert Brockett located?

Robert Brockett practices at 6129 W Corporate Oaks Dr, Crystal River, FL 34429. The listed phone number is (352) 795-4994.

What is Robert Brockett's specialty?

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

Is Robert Brockett enrolled in Medicare?

No. Robert Brockett has opted out of Medicare through January 1, 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.

When was this NPI record last updated?

The NPPES record for Robert Brockett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.