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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: August 09, 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
Phone(360) 895-8841
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
Open in Google Maps ↗

Secondary Practice Locations 5

Location 134800 Bob Wilson DrSan Diego, CA 92134-1098 · Phone (619) 532-8600
Location 2727 Ericksen Ave NE Ste 2Bainbridge Island, WA 98110-1882 · Phone (206) 842-8135
Location 34550 3rd Ave SELacey, WA 98503-1033 · Phone (855) 433-6825
Location 43773 Martin Way E Ste C105Olympia, WA 98506-5048 · Phone (855) 433-6825
Location 53866 S 74th St Ste 200Tacoma, WA 98409-9908 · Phone (855) 433-6825

Accepted Insurance

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

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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 98366 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.

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.

TRACY R. JOHNSON, DDS, PS
Dentist (Oral and Maxillofacial Surgery)
2040 MITCHELL RD SE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-8841
ANDREW J. TELLINGTON DMD, P.C.
Dentist (Oral and Maxillofacial Surgery)
2040 MITCHELL RD SE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-8841

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 Tellington's NPI number?

The NPI number for Andrew Tellington is 1174717524. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Andrew Tellington located?

Andrew Tellington practices at 2040 Mitchell Rd SE, Port Orchard, WA 98366. The listed phone number is (360) 895-8841.

What is Andrew Tellington's specialty?

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

Is Andrew Tellington enrolled in Medicare?

No. Andrew Tellington has opted out of Medicare through April 6, 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 Tellington accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Andrew Tellington 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 Tellington was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.