ANDREW WILLIAM RAY DDS, MD
NPI 1053541219
Dentist - Oral and Maxillofacial Surgery in Lexington, KY

Active since July 22, 2009Opted out of Medicare · through Oct 7, 2026
2421 GOOSEBERRY CIR, LEXINGTON, KY 40509(210) 771-5761 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 7, 2023, Mar 21, 2016 (2 updates tracked since 2016).

About Andrew William Ray Dds, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW WILLIAM RAY DDS, MD (NPI 1053541219) is an individual oral and maxillofacial surgery provider in Lexington, Kentucky, licensed in Arizona (D009409) and active in the NPI registry since July 2009. He has opted out of Medicare through October 7, 2026.

NPPES Registry Identity

NPI1053541219
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameANDREW WILLIAM RAYCredential: DDS, MD
Location Address2421 GOOSEBERRY CIRLexington, KY 40509-8567
Mailing Address3180 N Alma School Rd Ste 3Chandler, AZ 85224-1435 · (210) 771-5761
Sole ProprietorYes
Enumeration DateJuly 22, 2009
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1053541219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in AZ · D009409✔ Licensed in KY · 8855
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2421 GOOSEBERRY CIR, Lexington, KY 40509

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Andrew William Ray Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 7, 2020 through October 7, 2026.

Opt-Out Effective DateOctober 7, 2020
Opt-Out In Effect ThroughOctober 7, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Ray's NPI number?

The NPI number for Andrew Ray is 1053541219. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Andrew Ray located?

Andrew Ray practices at 2421 Gooseberry Cir, Lexington, KY 40509. The listed phone number is (210) 771-5761.

What is Andrew Ray's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Andrew Ray enrolled in Medicare?

No. Andrew Ray has opted out of Medicare through October 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Andrew Ray accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Alabama and 14 other insurers list Andrew Ray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Ray was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.