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DR. JEROME TABACCA D.D.S.
NPI 1942202163
Dentist - Periodontics in Columbus, OH

Active since June 01, 2005PECOS Enrolled
1707 BETHEL RD, COLUMBUS, OH 43220(614) 459-0050(614) 459-1955 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jerome Tabacca D.d.s. NPPES

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

DR. JEROME TABACCA D.D.S. (NPI 1942202163) is an individual periodontics provider in Columbus, Ohio, licensed in Ohio (OH14335) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942202163
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JEROME TABACCACredential: D.D.S.
Location Address1707 BETHEL RDColumbus, OH 43220-1810
Mailing Address1707 Bethel RdColumbus, OH 43220-1810 · (614) 459-0050 · Fax (614) 459-1955
Phone(614) 459-0050
Fax(614) 459-1955
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1942202163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in OH · OH14335
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.
1707 BETHEL RD, Columbus, OH 43220
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Other Identifiers 1

Other432538WV · United Concordia

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. Jerome Tabacca 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 43220 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 Jerome Tabacca's NPI number?

The NPI number for Jerome Tabacca is 1942202163. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Jerome Tabacca located?

Jerome Tabacca practices at 1707 Bethel Rd, Columbus, OH 43220. The listed phone number is (614) 459-0050.

What is Jerome Tabacca's specialty?

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

Is Jerome Tabacca enrolled in Medicare?

Yes. Jerome Tabacca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerome Tabacca was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.