DR. JAY SCOTT SULLINS D.D.S.
NPI 1992843965
Dentist - Endodontics in Lawton, OK

Q: What is Jay Sullins's NPI number?

The NPI number for Jay Sullins is 1992843965. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Q: What is Jay Sullins's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Jay Sullins enrolled in Medicare?

No. Jay Sullins has opted out of Medicare through April 30, 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.

Q: When was this NPI record last updated?

The NPPES record for Jay Sullins was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 February 02, 2007Opted out of Medicare · through Apr 30, 2028

8504 NW CACHE RD, LAWTON, OK 73505(580) 248-3636(580) 248-3533 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jay Scott Sullins D.d.s. NPPES

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

DR. JAY SCOTT SULLINS D.D.S. (NPI 1992843965) is an individual endodontics provider in Lawton, Oklahoma, licensed in Oklahoma (38) and active in the NPI registry since February 2007. He has opted out of Medicare through April 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992843965

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. JAY SCOTT SULLINSCredential: D.D.S.

Location Address8504 NW CACHE RDLawton, OK 73505-9604

Mailing Address8504 Nw Cache RdLawton, OK 73505-9604 · (580) 248-3636 · Fax (580) 248-3533

Phone(580) 248-3636

Fax(580) 248-3533

Sole ProprietorYes

Enumeration DateFebruary 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1992843965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in OK · 38

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

8504 NW CACHE RD, Lawton, OK 73505

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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. Jay Scott Sullins 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 April 30, 2020 through April 30, 2028.

Opt-Out Effective DateApril 30, 2020

Opt-Out In Effect ThroughApril 30, 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 73505 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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

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

LAWTON ENDODONTICS

Dentist (Endodontics)

8504 NW CACHE RD
LAWTON, OK 73505

Comanche County (580) 248-3636

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 Jay Sullins's NPI number?

The NPI number for Jay Sullins is 1992843965. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Jay Sullins located?

Jay Sullins practices at 8504 NW Cache Rd, Lawton, OK 73505. The listed phone number is (580) 248-3636.

What is Jay Sullins's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jay Sullins enrolled in Medicare?

No. Jay Sullins has opted out of Medicare through April 30, 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 Jay Sullins accept?

Health plans from Humana list Jay Sullins 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 Jay Sullins was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.