DR. JERRY WAYNE WADE D.D.S.
NPI 1861405276
Dentist - General Practice in Andrews, TX

Active since August 15, 2006PECOS Enrolled
612 HOSPITAL DR, ANDREWS, TX 79714(432) 523-7782 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jerry Wayne Wade D.d.s. NPPES

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

DR. JERRY WAYNE WADE D.D.S. (NPI 1861405276) is an individual general practice provider in Andrews, Texas, licensed in Texas (TX 12391) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861405276
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERRY WAYNE WADECredential: D.D.S.
Location Address612 HOSPITAL DRAndrews, TX 79714-3615
Mailing Address612 Hospital DrAndrews, TX 79714-3615 · (432) 523-7782
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1861405276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · TX 12391
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

612 HOSPITAL DR, Andrews, TX 79714

Other Names 1

Professional Name (2)Dr. Jerry Wayne Wade D.d.s.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jerry Wayne Wade D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79714 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

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

Dentist
612 HOSPITAL DR
ANDREWS, TX 79714

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 Jerry Wade's NPI number?

The NPI number for Jerry Wade is 1861405276. It was assigned to this individual provider in the NPPES registry on August 15, 2006. The provider is also known as Dr. Jerry Wayne Wade D.D.S..

Where is Jerry Wade located?

Jerry Wade practices at 612 Hospital Dr, Andrews, TX 79714. The listed phone number is (432) 523-7782.

What is Jerry Wade's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jerry Wade enrolled in Medicare?

Yes. Jerry Wade is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Wade was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.