EVAN REED SOBIESK
NPI 1801416219
Dentist - Oral and Maxillofacial Surgery in Hattiesburg, MS

Q: What is Evan Sobiesk's NPI number?

The NPI number for Evan Sobiesk is 1801416219. It was assigned to this individual provider in the NPPES registry on April 26, 2020.

Q: What is Evan Sobiesk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evan Sobiesk was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 26, 2020PECOS Enrolled

1421 S 28TH AVE, HATTIESBURG, MS 39402(601) 264-7611 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2024, Oct 25, 2020, Apr 26, 2020 (3 updates tracked since 2020).

On this page

About Evan Reed Sobiesk NPPES

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

EVAN REED SOBIESK (NPI 1801416219) is an individual oral and maxillofacial surgery provider in Hattiesburg, Mississippi, licensed in Mississippi (4160-20) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1801416219

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameEVAN REED SOBIESK

Location Address1421 S 28TH AVEHattiesburg, MS 39402-3108

Mailing Address1421 S 28th AveHattiesburg, MS 39402-3108 · (601) 264-7611

Phone(601) 264-7611

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 26, 2020

Last NPPES UpdateJune 4, 20243 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1801416219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MS · 4160-20

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.

Also ListedDentistTaxonomy 122300000X · License 4160-20 (MS)

1421 S 28TH AVE, Hattiesburg, MS 39402

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Reed Sobiesk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002354552

PECOS Enrollment IDI20240814004189

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of lower jaws, upper jaws and teeth 70355

An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.

40 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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 5

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

DR. GRIFFIN HAROLD WEST D.M.D.

Dentist (Oral and Maxillofacial Surgery)