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ERIC R. CLAUSSEN, D.M.D., P.A.
NPI 1790087138
Dentist - Oral and Maxillofacial Surgery in Panama City, FL

Active since November 17, 2010
2624 JENKS AVE, PANAMA CITY, FL 32405(850) 215-0798 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eric R. Claussen, D.m.d., P.a. NPPES

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

ERIC R. CLAUSSEN, D.M.D., P.A. (NPI 1790087138) is a healthcare organization registered as an oral and maxillofacial surgery in Panama City, Florida and active in the NPI registry since November 2010. The organization lists Eric Richard Claussen, President, as its authorized official.

NPPES Registry Identity

NPI1790087138
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameERIC R. CLAUSSEN, D.M.D., P.A.
Location Address2624 JENKS AVEPanama City, FL 32405-4311
Mailing Address2624 Jenks AvePanama City, FL 32405-4311 · (850) 215-0798
Phone(850) 215-0798
Organization SubpartNo
Authorized OfficialEric Richard ClaussenPresident · (407) 408-4880
Enumeration DateNovember 17, 2010
Last NPPES UpdateJune 29, 2012
✔ NPI 1790087138 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 · D17080
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.
2624 JENKS AVE, Panama City, FL 32405
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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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric R. Claussen, D.m.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20110407000194Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eric R. Claussen, D.M.D., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Eric Claussen, DMD
Maxillofacial Surgery
NPI 1194983965
2624 JENKS AVE
Panama City, FL 32405
(850) 215-0798
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eric R. Claussen, D.M.D., P.A.'s NPI number?

The NPI number for Eric R. Claussen, D.M.D., P.A. is 1790087138. It was assigned to this organization in the NPPES registry on November 17, 2010.

Where is Eric R. Claussen, D.M.D., P.A. located?

Eric R. Claussen, D.M.D., P.A. is located at 2624 Jenks Ave, Panama City, FL 32405. The listed phone number is (850) 215-0798.

What is Eric R. Claussen, D.M.D., P.A.'s specialty?

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

Is Eric R. Claussen, D.M.D., P.A. enrolled in Medicare?

Yes. Eric R. Claussen, D.M.D., P.A. is registered in the Medicare PECOS enrollment system.

When is Eric R. Claussen, D.M.D., P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Eric R. Claussen, D.M.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Eric R. Claussen, D.M.D., P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eric R. Claussen, D.M.D., P.A. was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.