DR. RODRIGO LORENZO URIBE D.M.D.
NPI 1811911977
Dentist - Oral and Maxillofacial Surgery in Statesboro, GA

Active since July 26, 2006Opted out of Medicare · through Apr 1, 2028
613 E GRADY ST, STATESBORO, GA 30458(912) 764-5435(912) 764-9789 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rodrigo Lorenzo Uribe D.m.d. NPPES

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

DR. RODRIGO LORENZO URIBE D.M.D. (NPI 1811911977) is an individual oral and maxillofacial surgery provider in Statesboro, Georgia, licensed in Georgia (DN011060) and active in the NPI registry since July 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1811911977
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RODRIGO LORENZO URIBECredential: D.M.D.
Location Address613 E GRADY STStatesboro, GA 30458-5104
Mailing Address613 East Grady Street, P.o.box 1408Statesboro, GA 30459-1408 · (912) 764-5435 · Fax (912) 764-9789
Fax(912) 764-9789
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateOctober 30, 2018
NPI 1811911977 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 GA · DN011060
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 ListedSpecialistTaxonomy 174400000X · License DN011060 (GA)
613 E GRADY ST, Statesboro, GA 30458

Other Identifiers 1

Medicaid000514489AGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Rodrigo Lorenzo Uribe 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 April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-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 30458 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 3

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

Dentist
613 E GRADY ST
STATESBORO, GA 30458
Clinic/Center (Dental)
613 E GRADY ST
STATESBORO, GA 30458
Dentist (Pediatric Dentistry)
613 E GRADY ST
STATESBORO, GA 30458

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 Rodrigo Uribe's NPI number?

The NPI number for Rodrigo Uribe is 1811911977. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Rodrigo Uribe located?

Rodrigo Uribe practices at 613 E Grady St, Statesboro, GA 30458. The listed phone number is (912) 764-5435.

What is Rodrigo Uribe's specialty?

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

Is Rodrigo Uribe enrolled in Medicare?

No. Rodrigo Uribe has opted out of Medicare through April 1, 2028. 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.

What insurance does Rodrigo Uribe accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Rodrigo Uribe 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 Rodrigo Uribe was last updated on October 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.