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ANDREW MICHAEL BROADSWORD DMD
NPI 1285060632
Dentist - Endodontics in Portland, OR

Active since September 17, 2013Opted out of Medicare · through Apr 20, 2027
700 NE MULTNOMAH ST STE 880, PORTLAND, OR 97232(503) 230-1234(503) 239-7741 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Michael Broadsword Dmd NPPES

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

ANDREW MICHAEL BROADSWORD DMD (NPI 1285060632) is an individual endodontics provider in Portland, Oregon, licensed in Oregon (D9961) and active in the NPI registry since September 2013. He has opted out of Medicare through April 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285060632
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameANDREW MICHAEL BROADSWORDCredential: DMD
Location Address700 NE MULTNOMAH ST STE 880Portland, OR 97232-4118
Mailing Address700 Ne Multnomah St Ste 880Portland, OR 97232-4118 · (503) 230-1234 · Fax (503) 239-7741
Phone(503) 230-1234
Fax(503) 239-7741
Sole ProprietorNo
Enumeration DateSeptember 17, 2013
Last NPPES UpdateJuly 3, 2019
✔ NPI 1285060632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in OR · D9961
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.
700 NE MULTNOMAH ST STE 880, Portland, OR 97232
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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 Michael Broadsword Dmd 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 20, 2017 through April 20, 2027.

Opt-Out Effective DateApril 20, 2017
Opt-Out In Effect ThroughApril 20, 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 97232 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

DR. NATALI NUNEZ DDS, MMSC
Dentist (Endodontics)
700 NE MULTNOMAH ST STE 880
PORTLAND, OR 97232
Multnomah County (503) 230-1234
DR. SARAH HEWARD D.M.D.
Dentist
700 NE MULTNOMAH ST STE 880
PORTLAND, OR 97232
Multnomah County (503) 230-1234

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 Broadsword's NPI number?

The NPI number for Andrew Broadsword is 1285060632. It was assigned to this individual provider in the NPPES registry on September 17, 2013.

Where is Andrew Broadsword located?

Andrew Broadsword practices at 700 NE Multnomah St Ste 880, Portland, OR 97232. The listed phone number is (503) 230-1234.

What is Andrew Broadsword's specialty?

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

Is Andrew Broadsword enrolled in Medicare?

No. Andrew Broadsword has opted out of Medicare through April 20, 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 Andrew Broadsword was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.