Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ANDREW M DEWITT DDS
NPI 1235123936
Dentist - Oral and Maxillofacial Surgery in Dubuque, IA

Active since September 08, 2005Opted out of Medicare · through Apr 1, 2028
100 BRYANT ST, DUBUQUE, IA 52003(563) 557-1440(563) 557-7001 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew M Dewitt Dds NPPES

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

ANDREW M DEWITT DDS (NPI 1235123936) is an individual oral and maxillofacial surgery provider in Dubuque, Iowa, licensed in Iowa (07863) and active in the NPI registry since September 2005. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235123936
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameANDREW M DEWITTCredential: DDS
Location Address100 BRYANT STDubuque, IA 52003-7405
Mailing Address100 Bryant StDubuque, IA 52003-7405 · (563) 557-1440 · Fax (563) 557-7001
Fax(563) 557-7001
Sole ProprietorNo
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1235123936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in IA · 07863 Licensed in WI · 4971015
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.

100 BRYANT ST, Dubuque, IA 52003

Other Identifiers 3

Other28203IA · Bcbs
Medicaid0231696IA
Medicaid33766100WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Andrew M Dewitt Dds 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 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-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 52003 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 7

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

Dentist (Oral and Maxillofacial Surgery)
100 BRYANT ST
DUBUQUE, IA 52003
Dentist (Oral and Maxillofacial Surgery)
100 BRYANT ST
DUBUQUE, IA 52003
Dentist
100 BRYANT ST
DUBUQUE, IA 52003
Dentist (Oral and Maxillofacial Surgery)
100 BRYANT ST
DUBUQUE, IA 52003
Dentist (Oral and Maxillofacial Surgery)
100 BRYANT ST
DUBUQUE, IA 52003
Dentist (Oral and Maxillofacial Surgery)
100 BRYANT ST
DUBUQUE, IA 52003
Clinic/Center (Oral and Maxillofacial Surgery)
100 BRYANT ST
DUBUQUE, IA 52003

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 Dewitt's NPI number?

The NPI number for Andrew Dewitt is 1235123936. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Andrew Dewitt located?

Andrew Dewitt practices at 100 Bryant St, Dubuque, IA 52003. The listed phone number is (563) 557-1440.

What is Andrew Dewitt's specialty?

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

Is Andrew Dewitt enrolled in Medicare?

No. Andrew Dewitt has opted out of Medicare through April 1, 2028. 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 Andrew Dewitt was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.