DR. JESSICA ALANNA SCULLY BRUNWORTH D.D.S., M.S.
NPI 1912383217
Dentist - Periodontics in Washington, MO

Q: What is Jessica Brunworth's NPI number?

The NPI number for Jessica Brunworth is 1912383217. It was assigned to this individual provider in the NPPES registry on August 10, 2015. The provider is also known as Jessica Scully D.D.S., M.S..

Q: What is Jessica Brunworth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Brunworth was last updated on November 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since August 10, 2015PECOS Enrolled

1351 JEFFERSON ST STE 202, WASHINGTON, MO 63090(314) 884-0478 Get Directions Write a Review

NPPES record last updated: November 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jessica Alanna Scully Brunworth D.d.s., M.s. NPPES

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

DR. JESSICA ALANNA SCULLY BRUNWORTH D.D.S., M.S. (NPI 1912383217) is an individual periodontics provider in Washington, Missouri, licensed in Missouri (2015023903) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912383217

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. JESSICA ALANNA SCULLY BRUNWORTHCredential: D.D.S., M.S.

Location Address1351 JEFFERSON ST STE 202Washington, MO 63090-6449

Mailing Address1351 Jefferson St Ste 202Washington, MO 63090-6449 · (314) 884-0478

Phone(314) 884-0478

Sole ProprietorYes

Enumeration DateAugust 10, 2015

Last NPPES UpdateNovember 12, 2018

✔ NPI 1912383217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MO · 2015023903

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License 2015023903 (MO)

1351 JEFFERSON ST STE 202, Washington, MO 63090

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Other Names 1

Professional Name (2)Jessica Scully D.d.s., M.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. Jessica Alanna Scully Brunworth D.d.s., M.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 63090 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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 Jessica Brunworth's NPI number?

The NPI number for Jessica Brunworth is 1912383217. It was assigned to this individual provider in the NPPES registry on August 10, 2015. The provider is also known as Jessica Scully D.D.S., M.S..

Where is Jessica Brunworth located?

Jessica Brunworth practices at 1351 Jefferson St Ste 202, Washington, MO 63090. The listed phone number is (314) 884-0478.

What is Jessica Brunworth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jessica Brunworth enrolled in Medicare?

Yes. Jessica Brunworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Brunworth was last updated on November 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.