DR. ROBERT EDWARD STOVER DDS MS
NPI 1255324893
Dentist - Prosthodontics in Olympia, WA

Active since August 30, 2005Opted out of Medicare · through Dec 19, 2027
128 LILLY RD NE STE 125, OLYMPIA, WA 98506(360) 456-1200(360) 456-0213 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert Edward Stover Dds Ms NPPES

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

DR. ROBERT EDWARD STOVER DDS MS (NPI 1255324893) is an individual prosthodontics provider in Olympia, Washington, licensed in Washington (DE00010932) and active in the NPI registry since August 2005. He has opted out of Medicare through December 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255324893
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. ROBERT EDWARD STOVERCredential: DDS MS
Location Address128 LILLY RD NE STE 125Olympia, WA 98506-7400
Mailing Address11407 136th Ave EPuyallup, WA 98374-2427 · (360) 456-1200 · Fax (360) 456-0213
Fax(360) 456-0213
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateSeptember 14, 2020
NPPES CertifiedSeptember 14, 2020
NPI 1255324893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses Licensed in WA · DE00010932 Licensed in NE · 6468
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
128 LILLY RD NE STE 125, Olympia, WA 98506

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. Robert Edward Stover Dds Ms 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 December 19, 2017 through December 19, 2027.

Opt-Out Effective DateDecember 19, 2017
Opt-Out In Effect ThroughDecember 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 98506 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 Robert Stover's NPI number?

The NPI number for Robert Stover is 1255324893. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Robert Stover located?

Robert Stover practices at 128 Lilly Rd NE Ste 125, Olympia, WA 98506. The listed phone number is (360) 456-1200.

What is Robert Stover's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Robert Stover enrolled in Medicare?

No. Robert Stover has opted out of Medicare through December 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.

When was this NPI record last updated?

The NPPES record for Robert Stover was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.