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DR. ANDREW EDMONDS D.M.D.
NPI 1063864965
Dentist - General Practice in Georgetown, TX

Active since July 05, 2016PECOS Enrolled
4405 WILLIAMS DR STE 300, GEORGETOWN, TX 78628(512) 855-7308 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 27, 2022, Dec 29, 2021, Oct 13, 2018 (3 updates tracked since 2018).

About Dr. Andrew Edmonds D.m.d. NPPES

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

DR. ANDREW EDMONDS D.M.D. (NPI 1063864965) is an individual general practice provider in Georgetown, Texas, licensed in Texas (31946) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2016).

NPPES Registry Identity

NPI1063864965
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDREW EDMONDSCredential: D.M.D.
Location Address4405 WILLIAMS DR STE 300Georgetown, TX 78628-1383
Mailing Address4405 Williams Dr Ste 300Georgetown, TX 78628-1383
Phone(512) 855-7308
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2016
Enumeration DateJuly 5, 2016
Last NPPES UpdateApril 27, 20223 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1063864965 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 · 31946
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.

4405 WILLIAMS DR STE 300, Georgetown, TX 78628
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Edmonds D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759707730
PECOS Enrollment IDI20200820003439
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
272 services105 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
50 services50 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
19 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78628 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SLEEP BETTER AUSTIN TREATMENT PLLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
4405 WILLIAMS DR STE 300
GEORGETOWN, TX 78628
Williamson County (512) 722-6083
ANDREW EDMONDS, DMD, PLLC
Clinic/Center (Dental)
4405 WILLIAMS DR STE 300
GEORGETOWN, TX 78628
Williamson County (512) 855-7308
BRENNA SURA DDS
Dentist
4405 WILLIAMS DR STE 300
GEORGETOWN, TX 78628
Williamson County (512) 686-2525

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 Edmonds's NPI number?

The NPI number for Andrew Edmonds is 1063864965. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Where is Andrew Edmonds located?

Andrew Edmonds practices at 4405 Williams Dr Ste 300, Georgetown, TX 78628. The listed phone number is (512) 855-7308.

What is Andrew Edmonds's specialty?

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

Is Andrew Edmonds enrolled in Medicare?

Yes. Andrew Edmonds is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Edmonds accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Andrew Edmonds 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 Edmonds was last updated on April 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.