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DR. DREW VANDERBROOK DDS
NPI 1063777142
Dentist - General Practice in Dallas, TX

Active since July 05, 2012Opted out of Medicare · through Jul 15, 2027
6333 E MOCKINGBIRD LN STE 255, DALLAS, TX 75214(214) 821-5200 Get Directions Write a Review

NPPES record last updated: July 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Drew Vanderbrook Dds NPPES

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

DR. DREW VANDERBROOK DDS (NPI 1063777142) is an individual general practice provider in Dallas, Texas, licensed in Texas (27994) and active in the NPI registry since July 2012. He has opted out of Medicare through July 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063777142
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DREW VANDERBROOKCredential: DDS
Location Address6333 E MOCKINGBIRD LN STE 255Dallas, TX 75214-2367
Mailing Address6333 E Mockingbird Ln Ste 255Dallas, TX 75214-2367 · (214) 821-5200
Phone(214) 821-5200
Sole ProprietorYes
Enumeration DateJuly 5, 2012
✔ NPI 1063777142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 27994
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6333 E MOCKINGBIRD LN STE 255, Dallas, TX 75214
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Drew Vanderbrook Dds 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 July 15, 2015 through July 15, 2027.

Opt-Out Effective DateJuly 15, 2015
Opt-Out In Effect ThroughJuly 15, 2027Opt-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 75214 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 Drew Vanderbrook's NPI number?

The NPI number for Drew Vanderbrook is 1063777142. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Where is Drew Vanderbrook located?

Drew Vanderbrook practices at 6333 E Mockingbird Ln Ste 255, Dallas, TX 75214. The listed phone number is (214) 821-5200.

What is Drew Vanderbrook's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Drew Vanderbrook enrolled in Medicare?

No. Drew Vanderbrook has opted out of Medicare through July 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Drew Vanderbrook was last updated on July 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.