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ANDREW HADDOCK DDS
NPI 1073005708
Dentist - General Practice in Morton, IL

Active since May 30, 2018PECOS Enrolled
636 W JEFFERSON ST, MORTON, IL 61550(309) 263-8317 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Haddock Dds NPPES

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

ANDREW HADDOCK DDS (NPI 1073005708) is an individual general practice provider in Morton, Illinois, licensed in Illinois (019034015) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073005708
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameANDREW HADDOCKCredential: DDS
Location Address636 W JEFFERSON STMorton, IL 61550
Mailing Address636 W Jefferson StMorton, IL 61550 · (309) 263-8317 · Fax (920) 787-4737
Phone(309) 263-8317
Sole ProprietorNo
Enumeration DateMay 30, 2018
Last NPPES UpdateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
✔ NPI 1073005708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019034015
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.
Also ListedDentistTaxonomy 122300000X · License 1001807-15 (WI)
636 W JEFFERSON ST, Morton, IL 61550
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Haddock Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61550 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 4

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

GAIL L POLLOCK CCC-A
Audiologist
636 W JEFFERSON ST, SUITE 3C
MORTON, IL 61550
Tazewell County (309) 263-7545
ANDRIS FAMILY DENTAL, LLC
Clinic/Center (Dental)
636 W JEFFERSON ST
MORTON, IL 61550
Tazewell County (309) 263-8317
DR. JOSEPH C ZIMMERMAN III DDS
Dentist
636 W JEFFERSON ST, SUITE 8
MORTON, IL 61550
Tazewell County (309) 263-8317
RYAN W ANDRIS D.M.D
Dentist
636 W JEFFERSON ST
MORTON, IL 61550
Tazewell County (309) 263-8317

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 Haddock's NPI number?

The NPI number for Andrew Haddock is 1073005708. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Andrew Haddock located?

Andrew Haddock practices at 636 W Jefferson St, Morton, IL 61550. The listed phone number is (309) 263-8317.

What is Andrew Haddock's specialty?

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

Is Andrew Haddock enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrew Haddock was last updated on February 20, 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.