DR. JACK E JR. GOTCHER (D.M.D,PH.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1619967676
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
44 ORAL SURGERY in TN
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Provider Addresses for DR. JACK E JR. GOTCHER (D.M.D,PH.D.)
PO BOX 440103
NASHVILLE, TN 372440103
Phone: (865) 670-6199
Fax: (865) 670-6188
Type: Mailing
Alcoa Highway, Topside, Knoxville, Knox County, Tennessee, 37920, United States
SUITE 305
KNOXVILLE, TN 379201502
Phone: (865) 305-6625
Fax: (865) 305-6628
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $22,454.
Total Amount is formed as General ($204) + Research ($22,250) + Ownership ($0) = $22,454.
Last reported payment date: 2023-12-21 • Largest payer in this snapshot: TechMah CMF, LLC ($22,250).
Total Amount
$22,454
General + Research + Ownership
Payments
9
Total payment records
General Amount
$204
General payments
Research Amount
$22,250
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TechMah CMF, LLC | $22,250 |
| KLS-Martin L.P. | $145 |
| BioHorizons Implant Systems Inc. | $58 |
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: 2010-12-22
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 |
|---|---|---|---|---|
| I20101222000145 | I | Oral Surgery | TN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 37244)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | SC | |
| - | TN | |
| Certified Nurse Midwife (Cnm) | TN | |
| - | TN | |
| Cardiac Surgery, Thoracic Surgery | TN | |
| Surgical Oncology | PA | |
| H O S P I T A L I S T | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
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