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

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: November 01, 2026.

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

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 Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Evan Sobiesk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A.
Same address
Oral and Maxillofacial Surgery
1421 S 28TH AVE
Hattiesburg, MS 39402
  • Reassigned Medicare billing, Mississippi enrollment
  • 4 clinicians in this Medicare group
NPI 1578596060 (601) 264-7611
State Of Mississippi - University Of Mississippi Medical Center
86 mi
General Acute Care Hospital
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1154317527 (601) 984-1000

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

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)
1421 S 28TH AVE
HATTIESBURG, MS 39402
Lamar County (601) 264-7611
DR. JAMES ALSTON OWEN D.D.S
Dentist (Oral and Maxillofacial Surgery)
1421 S 28TH AVE
HATTIESBURG, MS 39402
Lamar County (012) 647-6116
DR. BENNETT VAN YORK D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1421 S 28TH AVE
HATTIESBURG, MS 39402
Lamar County (601) 264-7611
ORAL & MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSSISSIPPI, P.A.
Dentist (Oral and Maxillofacial Surgery)
1421 S 28TH AVE
HATTIESBURG, MS 39402
Lamar County (601) 264-7611
DR. JOHN STEPHEN COCKERHAM D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1421 S 28TH AVE
HATTIESBURG, MS 39402
Lamar County (601) 264-7611

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 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.

Where is Evan Sobiesk located?

Evan Sobiesk practices at 1421 S 28th Ave, Hattiesburg, MS 39402. The listed phone number is (601) 264-7611.

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.

Is Evan Sobiesk enrolled in Medicare?

Yes. Evan Sobiesk is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Evan Sobiesk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Sobiesk reassigns Medicare benefits to 2 organizations: Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A. (Hattiesburg, MS) and State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). Each 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 Evan Sobiesk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Sobiesk accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 8 other insurers list Evan Sobiesk 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 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.