DR. ANDREW J TELLINGTON D.M.D
NPI 1174717524
Dentist - Oral and Maxillofacial Surgery in Port Orchard, WA

Active since August 29, 2007Opted out of Medicare · through Apr 6, 2027
2040 MITCHELL RD SE, PORT ORCHARD, WA 98366(360) 895-8841(360) 895-9350 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 31, 2026, Dec 16, 2020, Apr 17, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Andrew J Tellington D.m.d NPPES

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

DR. ANDREW J TELLINGTON D.M.D (NPI 1174717524) is an individual oral and maxillofacial surgery provider in Port Orchard, Washington, licensed in Washington (DE60426234) and active in the NPI registry since August 2007. He has opted out of Medicare through April 6, 2027 and remains eligible to order and refer and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1174717524
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ANDREW J TELLINGTONCredential: D.M.D
Location Address2040 MITCHELL RD SEPort Orchard, WA 98366-4401
Mailing Address10855 Silverdale Way Nw Unit 1460Silverdale, WA 98383-9827 · (360) 895-8841 · Fax (360) 895-9350
Fax(360) 895-9350
Sole ProprietorNo
Enumeration DateAugust 29, 2007
Last NPPES UpdateMarch 31, 20266 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
NPI 1174717524 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 · DE60426234
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.

2040 MITCHELL RD SE, Port Orchard, WA 98366

Secondary Practice Locations 5

Location 13773 Martin Way E Ste C105Olympia, WA 98506-5048 · Phone (855) 433-6825
Location 23866 S 74th St Ste 200Tacoma, WA 98409-9908 · Phone (855) 433-6825
Location 334800 Bob Wilson DrSan Diego, CA 92134-1098 · Phone (619) 532-8600
Location 4727 Ericksen Ave NE Ste 2Bainbridge Island, WA 98110-1882 · Phone (206) 842-8135
Location 54550 3rd Ave SELacey, WA 98503-1033 · Phone (855) 433-6825

Accepted Insurance

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. Andrew J Tellington D.m.d 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 April 6, 2021 through April 6, 2027.

Opt-Out Effective DateApril 6, 2021
Opt-Out In Effect ThroughApril 6, 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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 98366 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.29
  • Minimum New Patient Price $57.27
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $22.07
  • Minimum New Patient Copayment $14.31
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.29
  • Minimum Established Patient Price $18.56
  • Maximum Established Patient Price $141.11
  • Average Established Patient Copayment $17.82
  • Minimum Established Patient Copayment $4.64
  • Maximum Established Patient Copayment $35.27

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location NPPES 2

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

Dentist (Oral and Maxillofacial Surgery)
2040 MITCHELL RD SE
PORT ORCHARD, WA 98366
Dentist (Oral and Maxillofacial Surgery)
2040 MITCHELL RD SE
PORT ORCHARD, WA 98366

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174717524, enumerated as an "individual" on August 29, 2007.

The provider is located at 2040 MITCHELL RD SE PORT ORCHARD, WA 98366 and the phone number is (360) 895-8841.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Alabama,. Please consult your insurance carrier or call the provider to verify.