Theron Waisath, DMD
Oral and Maxillofacial Surgery (Dentist) · Champaign, IL
Theron Waisath, DMD is an oral and maxillofacial surgery (dentist) with a practice address in Champaign, Illinois, and NPI 1144423963, issued on Jun 8, 2007. Check the license (Illinois 019.027879, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Theron Waisath
- Credential
- DMD
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License numbers
- 019.027879 IL
2422 OH
Self-reported in NPPES; status is on the state search - Practice location
- 3112 Village Office PL, Champaign, IL 61822
- Phone
- (217) 351-7111
- Enumerated
- Jun 8, 2007
- Record last updated
- Jul 23, 2009 (not updated in 17 years: call before relying on the address or phone)
- Fax
- (217) 351-7282
- Medicare enrollment
- Enrolled (PECOS I20110324000222); accepts Medicare assignment
- Medical or professional school
- Southern Illinois Univ School Of Dental Medicine, 2004
- Entity
- Type 1 · individual
8 nearest oral and maxillofacial surgery (dentist) records → All 322 in Illinois → Look up another NPI →
Verify Theron Waisath in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 019.027879Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
43% fewer Medicare Part D claims than the average oral and maxillofacial surgery (dentist) in 2024
233 Medicare Part D claims for 172 beneficiaries, against an average of 406 among the 5,870 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 13 claims were for opioids.
Most prescribed
- Amoxicillin166 claims
- Clindamycin Hcl31 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $43.84
2 payments; by number, the most common kind was food and beverage; the largest payer was Zimvie Inc. The 4,075 providers of this specialty with any payment received $1,077.58 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Affiliates IN Oral And Maxillofacial Surgery LtdChampaign, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Theron Waisath among 322 oral and maxillofacial surgery (dentist) records in Illinois
Theron Waisath, DMD is one of 322 oral and maxillofacial surgery (dentist) records with a practice address in Illinois. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 44% of them.
- NPI issued2007 · 44% of these records are older, 39% newer
- In a Medicare fileYes · 70% of these records are
- In the CMS Doctors and Clinicians fileYes · 10% of these records are
- Graduated2004 · median 2001 among the 33 with a school on file
- Record last updated2009 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223S0112X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Oral and Maxillofacial Surgery (Dentist) providers in Illinois
There are 322 oral and maxillofacial surgery (dentist) records in Illinois.
All 322 in Illinois → Every provider in Champaign → Oral and Maxillofacial Surgery (Dentist) nationwide →
The 8 oral and maxillofacial surgery (dentist) records with the nearest ZIP codes
- Victor Escobar, D.D.S., PH.D.Champaign, IL 618221750397501
- Nicholas Mechas, D.M.D.Champaign, IL 618221164886362
- Eugene Ozment, DDSChampaign, IL 618221518025394
- Mark Stephens, D.M.D.Champaign, IL 618201255652665
- Tyler ShankUrbana, IL 618021861319261
- Minseok Kang, D.M.D.Urbana, IL 618011760738272
- Joseph Long, D.D.S.Urbana, IL 618011447602370
- Craig Norbutt, DMD, MDUrbana, IL 618011720314537
Common questions
What is Theron Waisath, DMD's NPI number?
Theron Waisath, DMD's National Provider Identifier (NPI) is 1144423963, issued on Jun 8, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Theron Waisath, DMD located?
The NPPES record lists a practice address at 3112 Village Office PL, Champaign, IL, 61822. Phone: (217) 351-7111. Providers update this record themselves, so call before visiting.
How can I verify Theron Waisath, DMD's license?
NPPES lists Illinois license number 019.027879, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
How much does Theron Waisath, DMD prescribe under Medicare Part D?
In 2024, Theron Waisath, DMD had 233 Medicare Part D claims for 172 beneficiaries; the average among oral and maxillofacial surgery (dentist) prescribers was 406. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.