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Active NPI 1740282748 Individual Practitioner Male Practitioner

Dr. Thomas S Jeter , MD, DDS

Oral & Maxillofacial Surgery • San Angelo, TX

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Jeter, MD, DDS is a registered healthcare professional specializing in Oral & Maxillofacial Surgery in San Angelo, TX. Practice services are available at 303 W HARRIS AVE under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

303 W Harris Ave
Ste 2

San Angelo, TX 769036377

Telephone 3256586519
Fax 3256586510
Associated Practice Facility / Clinic
🏢 Bryan N Angle Md Pa Facility NPI 1568764975

Specialty Benchmarks & Practice Insights

Comparative analytics for Oral & Maxillofacial Surgery in San Angelo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.4 Yrs
Regional Practice Density
3 Specialists

Practicing in San Angelo, TX (87 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $290.00 $160.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 14 $260.00 $105.80

Medical Specialties & State Licenses

Oral & Maxillofacial Surgery Primary Specialty

NUCC Taxonomy Code: 204E00000X

State License TX F1680

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License TX 9602

The specialty of dentistry which includes 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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
00T570

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 06, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2011

Registered at 303 W HARRIS AVE, STE 2, SAN ANGELO, TX 769036377 (Tel: 3256586519)

📍
Updated Business Mailing Address January 06, 2011

Registered at 303 W HARRIS AVE STE 2, P O BOX 3602, SAN ANGELO, TX 769036377 (Tel: 3256586519)

👤
Provider Name / Credentials Updated January 06, 2011

Recorded as THOMAS JETER, MD, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2011

Dentist (License #9602 in TX)

🟢
Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740282748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: January 06, 2011
Sole Proprietor: Yes

Mailing Address

303 W Harris Ave Ste 2, P O Box 3602

San Angelo, TX 769036377

Phone: 3256586519

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.