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MR. ANDREW P. WIGHTMAN DMD
NPI 1083817878
Dentist - Oral and Maxillofacial Surgery in Tocoma, WA

Active since June 08, 2007Opted out of Medicare · through Jul 19, 2027
6050 TACOMA MALL BLVD SUITE 330, TOCOMA, WA 98409(253) 473-0651(253) 444-0761 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Andrew P. Wightman Dmd NPPES

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

MR. ANDREW P. WIGHTMAN DMD (NPI 1083817878) is an individual oral and maxillofacial surgery provider in Tocoma, Washington, licensed in Washington (DE60325350) and active in the NPI registry since June 2007. He has opted out of Medicare through July 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083817878
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMR. ANDREW P. WIGHTMANCredential: DMD
Location Address6050 TACOMA MALL BLVD SUITE 330Tocoma, WA 98409
Mailing Address6050 Tacoma Mall Blvd, Suite 330Tocoma, WA 98409 · (253) 473-0651 · Fax (253) 444-0761
Phone(253) 473-0651
Fax(253) 444-0761
Sole ProprietorYes
Enumeration DateJune 8, 2007
Last NPPES UpdateDecember 5, 2016
✔ NPI 1083817878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WA · DE60325350
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.
6050 TACOMA MALL BLVD SUITE 330, Tocoma, WA 98409
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Accepted Insurance

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

Mr. Andrew P. Wightman Dmd 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 19, 2017 through July 19, 2027.

Opt-Out Effective DateJuly 19, 2017
Opt-Out In Effect ThroughJuly 19, 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 98409 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 Wightman's NPI number?

The NPI number for Andrew Wightman is 1083817878. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Andrew Wightman located?

Andrew Wightman practices at 6050 Tacoma Mall Blvd Suite 330, Tocoma, WA 98409. The listed phone number is (253) 473-0651.

What is Andrew Wightman's specialty?

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

Is Andrew Wightman enrolled in Medicare?

No. Andrew Wightman has opted out of Medicare through July 19, 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.

What insurance does Andrew Wightman accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 5 other insurers list Andrew Wightman 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 Wightman was last updated on December 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.