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DR. DANIEL JEONG D.D.S.
NPI 1922273036
Dentist - Oral and Maxillofacial Surgery in Tewksbury, MA

Active since April 29, 2008Opted out of Medicare · through Feb 21, 2028
1201 MAIN ST, TEWKSBURY, MA 01876(978) 851-5200 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daniel Jeong D.d.s. NPPES

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

DR. DANIEL JEONG D.D.S. (NPI 1922273036) is an individual oral and maxillofacial surgery provider in Tewksbury, Massachusetts, licensed in Massachusetts (DN1855177) and active in the NPI registry since April 2008. He has opted out of Medicare through February 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922273036
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DANIEL JEONGCredential: D.D.S.
Location Address1201 MAIN STTewksbury, MA 01876-4774
Mailing Address1201 Main StTewksbury, MA 01876-4774 · (978) 851-5200
Phone(978) 851-5200
Sole ProprietorYes
Enumeration DateApril 29, 2008
Last NPPES UpdateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
✔ NPI 1922273036 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 MA · DN1855177
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.
1201 MAIN ST, Tewksbury, MA 01876
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.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. Daniel Jeong D.d.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 February 21, 2020 through February 21, 2028.

Opt-Out Effective DateFebruary 21, 2020
Opt-Out In Effect ThroughFebruary 21, 2028Opt-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 01876 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 4

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

DR. NINA MI HYUN OH DMD
Dentist (General Practice)
1201 MAIN ST
TEWKSBURY, MA 01876
Middlesex County (978) 851-2621
RENEW DENTAL P C
Dentist (Oral and Maxillofacial Surgery)
1201 MAIN ST
TEWKSBURY, MA 01876
Middlesex County (978) 451-1500
ELAINE WU
Dentist (General Practice)
1201 MAIN ST
TEWKSBURY, MA 01876
Middlesex County (978) 451-1500
DR. JAMES J WU DDS
Dentist (Oral and Maxillofacial Surgery)
1201 MAIN ST
TEWKSBURY, MA 01876
Middlesex County (978) 851-5200

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 Daniel Jeong's NPI number?

The NPI number for Daniel Jeong is 1922273036. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Daniel Jeong located?

Daniel Jeong practices at 1201 Main St, Tewksbury, MA 01876. The listed phone number is (978) 851-5200.

What is Daniel Jeong's specialty?

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

Is Daniel Jeong enrolled in Medicare?

No. Daniel Jeong has opted out of Medicare through February 21, 2028. 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 Daniel Jeong accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Daniel Jeong 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 Daniel Jeong was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.