DR. LANCE J. SKIDMORE D.D.S.,M.S.
NPI 1912069840
Dentist - Endodontics in San Angelo, TX

Active since December 15, 2006Opted out of Medicare · through Jul 14, 2027
2014 W BEAUREGARD AVE, SAN ANGELO, TX 76901(325) 716-9597 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lance J. Skidmore D.d.s.,m.s. NPPES

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

DR. LANCE J. SKIDMORE D.D.S.,M.S. (NPI 1912069840) is an individual endodontics provider in San Angelo, Texas, licensed in Texas (23788) and active in the NPI registry since December 2006. He has opted out of Medicare through July 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912069840
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. LANCE J. SKIDMORECredential: D.D.S.,M.S.
Location Address2014 W BEAUREGARD AVESan Angelo, TX 76901-3813
Mailing Address2014 W Beauregard AveSan Angelo, TX 76901-3813 · (325) 716-9597
Sole ProprietorYes
Enumeration DateDecember 15, 2006
Last NPPES UpdateAugust 13, 2008
NPI 1912069840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in TX · 23788
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.

2014 W BEAUREGARD AVE, San Angelo, TX 76901

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. Lance J. Skidmore D.d.s.,m.s. 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 July 14, 2017 through July 14, 2027.

Opt-Out Effective DateJuly 14, 2017
Opt-Out In Effect ThroughJuly 14, 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 76901 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 2

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

Dentist (Endodontics)
2014 W BEAUREGARD AVE
SAN ANGELO, TX 76901
Dentist (Endodontics)
2014 W BEAUREGARD AVE
SAN ANGELO, TX 76901

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 Lance Skidmore's NPI number?

The NPI number for Lance Skidmore is 1912069840. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Lance Skidmore located?

Lance Skidmore practices at 2014 W Beauregard Ave, San Angelo, TX 76901. The listed phone number is (325) 716-9597.

What is Lance Skidmore's specialty?

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

Is Lance Skidmore enrolled in Medicare?

No. Lance Skidmore has opted out of Medicare through July 14, 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 Lance Skidmore accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Lance Skidmore 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 Lance Skidmore was last updated on August 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.