DR. JASON BRADFORD UNTRAUER (MD, DDS) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1164686648

DR. JASON BRADFORD UNTRAUER (MD, DDS) is a healthcare provider. based in Omaha, Nebraska. specializing in MAXILLOFACIAL SURGERY. They hold the professional credentials MD, DDS. They hold a License No. 25465 (NE). The NPI Number for DR. JASON BRADFORD UNTRAUER (MD, DDS) is 1164686648

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON BRADFORD UNTRAUER (MD, DDS)
NPI
1164686648
Phone
(402) 559-5999
Address
988102 Nebraska Medical Ctr
Enumeration Date
15 July 2008
Last Update Date
29 March 2018

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
4025527928
Graduation Year
2003 (23 years ago)
PAC ID
3577608785
Group Practice PAC ID
6002728391
Professional Enrollment ID
I20100226000393
Address ID
NE681051053OM4014XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

12 MAXILLOFACIAL SURGERY in NE

Provider Addresses for DR. JASON BRADFORD UNTRAUER (MD, DDS)

  • 988102 Nebraska Medical Ctr

    Omaha, NE 681988102

    Phone: (402) 559-5999

    Fax: (402) 559-3499

    Type: Location

  • Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681988102

    Phone: (402) 559-5999

    Type: Mailing

  • UNMC Oral and Maxillofacial Surgery, 4014, Leavenworth Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681051053

    Phone: (402) 559-5999

    Fax: (402) 559-3499

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $588.

Total Amount is formed as General ($588) + Research ($0) + Ownership ($0) = $588.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: AXOGEN ($505).

Total Amount

$588

General + Research + Ownership

Payments

6

Total payment records

General Amount

$588

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-02-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100226000393IMaxillofacial SurgeryNETBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70355X-ray of lower jaws, upper jaws and teeth3528$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
99213Established patient office or other outpatient visit, 20-29 minutes1813$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 68198)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002728391View full group profile
NameSpecialtyState
Physician AssistantNE
Infectious DiseaseNE
N E U R O L O G YNE
P A T H O L O G YNE
Medical Oncology, Hematology/OncologyNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
G A S T R O E N T E R O L O G YNE
Internal MedicineNE
N E U R O S U R G E R YNE

Reviews

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Frequently asked questions

What identifier follows DR. JASON BRADFORD UNTRAUER (MD, DDS) across health systems?
The NPI 1164686648 uniquely identifies DR. JASON BRADFORD UNTRAUER (MD, DDS) in U.S. healthcare data.
Quick check: is DR. JASON BRADFORD UNTRAUER (MD, DDS) active?
Public NPPES data shows DR. JASON BRADFORD UNTRAUER (MD, DDS) with an active NPI status right now.
What does the directory say DR. JASON BRADFORD UNTRAUER (MD, DDS) does?
Insurance directories may phrase it differently, but here DR. JASON BRADFORD UNTRAUER (MD, DDS) maps to Oral & Maxillofacial Surgery (D.M.D.). Clinical services aligned with this taxonomy classification.
Is DR. JASON BRADFORD UNTRAUER (MD, DDS) tied to Omaha, Nebraska?
If you are local to Omaha, Nebraska, DR. JASON BRADFORD UNTRAUER (MD, DDS) may be relevant to your search.
Can I export DR. JASON BRADFORD UNTRAUER (MD, DDS)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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