Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACQUELINE VINEYARD DMD, MS
NPI 1851777106
Dentist - Endodontics in Tierra Verde, FL

Active since August 09, 2015Opted out of Medicare · through Feb 24, 2027
515 1ST AVE S, TIERRA VERDE, FL 33715(727) 410-5985 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 22, 2026, Dec 16, 2018 (2 updates tracked since 2018).

About Dr. Jacqueline Vineyard Dmd, Ms NPPES

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

DR. JACQUELINE VINEYARD DMD, MS (NPI 1851777106) is an individual endodontics provider in Tierra Verde, Florida, licensed in Florida (DN21290) and active in the NPI registry since August 2015. She has opted out of Medicare through February 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851777106
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JACQUELINE VINEYARDCredential: DMD, MS
Location Address515 1ST AVE STierra Verde, FL 33715-2236
Mailing Address6740 Crosswinds Dr N, Suite ASt. Peterburg, FL 33710 · (727) 410-5985
Sole ProprietorNo
Enumeration DateAugust 9, 2015
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1851777106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in FL · DN21290
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
515 1ST AVE S, Tierra Verde, FL 33715

Other Names 1

Former Name (1)Dr. Jacqueline Garcia Dmd, Ms

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. Jacqueline Vineyard Dmd, Ms 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 February 24, 2021 through February 24, 2027.

Opt-Out Effective DateFebruary 24, 2021
Opt-Out In Effect ThroughFebruary 24, 2027Opt-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 33715 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Jacqueline Vineyard's NPI number?

The NPI number for Jacqueline Vineyard is 1851777106. It was assigned to this individual provider in the NPPES registry on August 9, 2015. The provider is also known as Dr. Jacqueline Garcia Dmd, Ms.

Where is Jacqueline Vineyard located?

Jacqueline Vineyard practices at 515 1st Ave S, Tierra Verde, FL 33715. The listed phone number is (727) 410-5985.

What is Jacqueline Vineyard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jacqueline Vineyard enrolled in Medicare?

No. Jacqueline Vineyard has opted out of Medicare through February 24, 2027. 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 Jacqueline Vineyard accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental and Florida Combined Life and 2 other insurers list Jacqueline Vineyard 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 Jacqueline Vineyard was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.