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ANDREA MICHELLE MCPHILLIPS DDS; MD
NPI 1114188729
Oral & Maxillofacial Surgery in Stephenville, TX

Active since June 17, 2008Opted out of Medicare · through Aug 28, 2026
605 VANTAGE DR, STEPHENVILLE, TX 76401(254) 965-2541(254) 965-4531 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Michelle Mcphillips Dds; Md NPPES

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

ANDREA MICHELLE MCPHILLIPS DDS; MD (NPI 1114188729) is an individual oral & maxillofacial surgery provider in Stephenville, Texas, licensed in Texas (D22386) and active in the NPI registry since June 2008. She has opted out of Medicare through August 28, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114188729
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameANDREA MICHELLE MCPHILLIPSCredential: DDS; MD
Location Address605 VANTAGE DRStephenville, TX 76401-1850
Mailing Address605 Vantage DrStephenville, TX 76401-1850 · (254) 965-2541 · Fax (254) 965-4531
Phone(254) 965-2541
Fax(254) 965-4531
Sole ProprietorNo
Enumeration DateJune 17, 2008
Last NPPES UpdateMarch 3, 2016
✔ NPI 1114188729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in TX · D22386
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License 22386 (TX)
605 VANTAGE DR, Stephenville, TX 76401
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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

Andrea Michelle Mcphillips 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 August 28, 2018 through August 28, 2026.

Opt-Out Effective DateAugust 28, 2018
Opt-Out In Effect ThroughAugust 28, 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.

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 Andrea Mcphillips's NPI number?

The NPI number for Andrea Mcphillips is 1114188729. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Andrea Mcphillips located?

Andrea Mcphillips practices at 605 Vantage Dr, Stephenville, TX 76401. The listed phone number is (254) 965-2541.

What is Andrea Mcphillips's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Andrea Mcphillips enrolled in Medicare?

No. Andrea Mcphillips has opted out of Medicare through August 28, 2026. 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 Andrea Mcphillips was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.