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DR. TODD E WYNKOOP DDS
NPI 1265446561
Dentist - Endodontics in Woodbridge, VA

Active since July 29, 2006Opted out of Medicare · through Aug 31, 2027
12510 LAKE RIDGE DR STE C, WOODBRIDGE, VA 22192(703) 494-8624(703) 497-1258 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Todd E Wynkoop Dds NPPES

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

DR. TODD E WYNKOOP DDS (NPI 1265446561) is an individual endodontics provider in Woodbridge, Virginia, licensed in Virginia (0401007464) and active in the NPI registry since July 2006. He has opted out of Medicare through August 31, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265446561
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. TODD E WYNKOOPCredential: DDS
Location Address12510 LAKE RIDGE DR STE CWoodbridge, VA 22192-7501
Mailing Address12510 Lake Ridge Dr Ste CWoodbridge, VA 22192-7501 · (703) 494-8624 · Fax (703) 497-1258
Phone(703) 494-8624
Fax(703) 497-1258
Sole ProprietorYes
Enumeration DateJuly 29, 2006
Last NPPES UpdateJuly 15, 2008
✔ NPI 1265446561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in VA · 0401007464
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
12510 LAKE RIDGE DR STE C, Woodbridge, VA 22192
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Other Identifiers 2

Other872859PA · United Concordia
Other0401007464VA · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Todd E Wynkoop 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 August 31, 2015 through August 31, 2027.

Opt-Out Effective DateAugust 31, 2015
Opt-Out In Effect ThroughAugust 31, 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 22192 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 Todd Wynkoop's NPI number?

The NPI number for Todd Wynkoop is 1265446561. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Todd Wynkoop located?

Todd Wynkoop practices at 12510 Lake Ridge Dr Ste C, Woodbridge, VA 22192. The listed phone number is (703) 494-8624.

What is Todd Wynkoop's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Todd Wynkoop enrolled in Medicare?

No. Todd Wynkoop has opted out of Medicare through August 31, 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 Todd Wynkoop accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Todd Wynkoop 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 Todd Wynkoop was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.