NOLAN JENKINS (DDS) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1124456363
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
56 ORAL SURGERY in IL
Provider Addresses for NOLAN JENKINS (DDS)
1070 BAYTOWNE DR APT 34
CHAMPAIGN, IL 618227931
Phone:
Type: Mailing
602 W UNIVERSITY AVE
URBANA, IL 618012530
Phone: (217) 383-3280
Type: Location
1500 Red River St
Austin, TX 787011918
Phone: (512) 324-7000
Type: Location
4900 Mueller Blvd
Austin, TX 787233051
Phone: (512) 324-0000
Type: Location
11113 Research Blvd
Austin, TX 787595236
Phone: (512) 324-6000
Type: Location
901 W 38TH ST STE 410
AUSTIN, TX 787051162
Phone: (512) 992-1378
Fax: (512) 992-1379
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,176.
Total Amount is formed as General ($1,176) + Research ($0) + Ownership ($0) = $1,176.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: KLS-Martin L.P. ($669).
Total Amount
$1,176
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,176
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KLS-Martin L.P. | $669 |
| Nobel Biocare USA | $243 |
| Kerecis Limited | $182 |
| Straumann USA LLC | $35 |
| ACUMED LLC | $33 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190131003277 | I | Oral Surgery | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61822)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery | TX | |
| Oral Surgery, Dentist | TX | |
| Oral Surgery, Dentist | TX | |
| Physician Assistant | TX |
Reviews
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