TJ DYER (DDS) – Dentist, NPI 1376809129

TJ DYER (DDS) is a healthcare provider. based in Madison, Wisconsin. specializing in MAXILLOFACIAL SURGERY. They hold the professional credentials DDS. They hold a License No. 1001229-15 (WI). The NPI Number for TJ DYER (DDS) is 1376809129

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TJ DYER (DDS)
NPI
1376809129
Phone
Not provided
Address
7007 OLD SAUK RD
Enumeration Date
5 April 2012
Last Update Date
23 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6088198760
Graduation Year
2016 (10 years ago)
PAC ID
6901038066
Group Practice PAC ID
5294830451
Professional Enrollment ID
I20160610000329
Address ID
WI537172307MA7007XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

24 MAXILLOFACIAL SURGERY in WI

Provider Addresses for TJ DYER (DDS)

  • 7007 OLD SAUK RD

    MADISON, WI 537172307

    Phone:

    Mailing address matches the actual address.

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 $392.

Total Amount is formed as General ($392) + Research ($0) + Ownership ($0) = $392.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Straumann USA LLC ($362).

Total Amount

$392

General + Research + Ownership

Payments

6

Total payment records

General Amount

$392

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2016-06-10

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
I20160610000329IMaxillofacial SurgeryWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53717)

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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: 5294830451View full group profile
NameSpecialtyState
Maxillofacial Surgery, Oral SurgeryWI
Maxillofacial SurgeryMA
Oral SurgeryWI
-WI
Maxillofacial Surgery, Oral SurgeryTX
Oral SurgeryWI

Reviews

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Frequently asked questions

What NPI should I save for TJ DYER (DDS)?
Save NPI 1376809129 if you need a stable reference for TJ DYER (DDS).
Is TJ DYER (DDS)'s NPI currently valid?
The extract we use shows TJ DYER (DDS) as active.
What field does TJ DYER (DDS) work in?
You can think of TJ DYER (DDS) as practicing within Dentist. Clinical services aligned with this taxonomy classification.
Where is TJ DYER (DDS)'s primary listing?
We display Madison, Wisconsin because that is what the record indicates for TJ DYER (DDS).
What if Madison, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.