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GREGORY KEITH SPACKMAN DDS MBA
NPI 1790785061
Dentist - Oral and Maxillofacial Surgery in San Antonio, TX

Active since July 28, 2005PECOS Enrolled
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229(210) 567-3477(210) 567-3493 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gregory Keith Spackman Dds Mba NPPES

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

GREGORY KEITH SPACKMAN DDS MBA (NPI 1790785061) is an individual oral and maxillofacial surgery provider in San Antonio, Texas, licensed in Texas (17454) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790785061
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameGREGORY KEITH SPACKMANCredential: DDS MBA
Location Address7703 FLOYD CURL DRSan Antonio, TX 78229-3901
Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901 · (210) 567-3470 · Fax (210) 567-2995
Phone(210) 567-3477
Fax(210) 567-3493
Sole ProprietorNo
Enumeration DateJuly 28, 2005
Last NPPES UpdateJanuary 28, 2014
✔ NPI 1790785061 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 TX · 17454
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.
7703 FLOYD CURL DR, San Antonio, TX 78229
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Other Identifiers 4

Medicare ID-Type Unspecified83Y635
Other126780805TX · Medical Dental
Medicare UPINT42802
Medicaid126785803TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Keith Spackman Dds Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gregory Spackman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Texas Health Science Center At San Antonio
Same address
Clinical Pathology/Laboratory Medicine
7703 FLOYD CURL DR RM 327B
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 2,397 clinicians in this Medicare group
NPI 1396717989 (210) 450-9000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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 20

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

DANIEL TRAVIS HART CRNA
Nurse Anesthetist, Certified Registered
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-0811
KENDALL HULK DO
Physical Medicine & Rehabilitation
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-7000
TATE KICKHOEFER
Student in an Organized Health Care Education/Training Program
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (214) 498-9010
DR. JOSEPH DUMBUYA DMD, MPH
Student in an Organized Health Care Education/Training Program
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (301) 675-2866
GRACE COOPER MD
Emergency Medicine
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-6400
ALISSA HERRERA MD
Student in an Organized Health Care Education/Training Program
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-4621
TYLER YOUNG MD
Student in an Organized Health Care Education/Training Program
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-7000
JACOB TERRY
Student in an Organized Health Care Education/Training Program
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-7000

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 Gregory Spackman's NPI number?

The NPI number for Gregory Spackman is 1790785061. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Gregory Spackman located?

Gregory Spackman practices at 7703 Floyd Curl Dr, San Antonio, TX 78229. The listed phone number is (210) 567-3477.

What is Gregory Spackman's specialty?

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

Is Gregory Spackman enrolled in Medicare?

Yes. Gregory Spackman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gregory Spackman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Spackman reassigns Medicare benefits to University Of Texas Health Science Center At San Antonio (San Antonio, TX). The 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 Gregory Spackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gregory Spackman was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.