DR. JEFFERY EDWIN REDDICKS DMD - NPI 1912072067

Q: What is Jeffery Reddicks's NPI number?

The NPI number for Jeffery Reddicks is 1912072067. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Q: What is Jeffery Reddicks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffery Reddicks was last updated on June 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jeffery Edwin Reddicks Dmd NPPES

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

DR. JEFFERY EDWIN REDDICKS DMD (NPI 1912072067) is an individual oral and maxillofacial surgery provider in Tigard, Oregon, licensed in Oregon (D6775) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912072067

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JEFFERY EDWIN REDDICKSCredential: DMD

Location Address7095 SW GONZAGA STTigard, OR 97223-8309

Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (503) 952-2164 · Fax (503) 526-4418

Phone(503) 620-6715

Fax(503) 620-8259

Sole ProprietorNo

Enumeration DateNovember 22, 2006

Last NPPES UpdateJune 1, 2015

✔ NPI 1912072067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in OR · D6775

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.

7095 SW GONZAGA ST, Tigard, OR 97223

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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. Jeffery Edwin Reddicks Dmd 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 97223 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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.