DR. GLADYS JOHNSON WHITTEN DMD
NPI 1952462897
Dentist - Oral and Maxillofacial Surgery in Lubbock, TX

Active since December 13, 2006PECOS Enrolled
5730 66TH ST, SUITE 2, LUBBOCK, TX 79424(806) 535-0238(806) 794-0025 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gladys Johnson Whitten Dmd NPPES

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

DR. GLADYS JOHNSON WHITTEN DMD (NPI 1952462897) is an individual oral and maxillofacial surgery provider in Lubbock, Texas, licensed in Texas (11953) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952462897
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GLADYS JOHNSON WHITTENCredential: DMD
Location Address5730 66TH ST, SUITE 2Lubbock, TX 79424-1224
Mailing AddressPo Box 16209Lubbock, TX 79490-6209 · (806) 535-0238 · Fax (806) 794-0025
Fax(806) 794-0025
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateOctober 1, 2014
NPI 1952462897 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 TX · 11953
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.

5730 66TH ST, Lubbock, TX 79424

Other Names 1

Professional Name (2)Dr. Gladys Johnson Whitten Dmd

Other Identifiers 2

Medicare UPINT14059
Medicare ID-Type UnspecifiedD11953TX

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. Gladys Johnson Whitten Dmd 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 April 1, 2016 through April 1, 2026.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2026Opt-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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 79424 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.92
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.55
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $17.13
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location NPPES 3

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

Dentist (Oral and Maxillofacial Surgery)
5730 66TH ST
LUBBOCK, TX 79424
Dentist (Oral and Maxillofacial Surgery)
5730 66TH ST, SUITE 2
LUBBOCK, TX 79424
Dentist (General Practice)
5730 66TH ST
LUBBOCK, TX 79424

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952462897, enumerated as an "individual" on December 13, 2006.

The provider is located at 5730 66TH ST SUITE 2 LUBBOCK, TX 79424 and the phone number is (806) 535-0238.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Humana, Renaissance Dental, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.