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DR. ANDREW JAMES DEMEYER DDS
NPI 1417034471
Dentist - General Practice in San Diego, CA

Active since November 01, 2006Opted out of Medicare · through Feb 10, 2028
4707 MISSION BLVD, SAN DIEGO, CA 92109(858) 483-6851(858) 483-6412 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andrew James Demeyer Dds NPPES

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

DR. ANDREW JAMES DEMEYER DDS (NPI 1417034471) is an individual general practice provider in San Diego, California, licensed in California (36913) and active in the NPI registry since November 2006. He has opted out of Medicare through February 10, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417034471
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDREW JAMES DEMEYERCredential: DDS
Location Address4707 MISSION BLVDSan Diego, CA 92109-2535
Mailing Address4707 Mission BlvdSan Diego, CA 92109-2535 · (858) 483-6851 · Fax (858) 483-6412
Phone(858) 483-6851
Fax(858) 483-6412
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 27, 2011
✔ NPI 1417034471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 36913
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4707 MISSION BLVD, San Diego, CA 92109
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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

Dr. Andrew James Demeyer 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 February 10, 2016 through February 10, 2028.

Opt-Out Effective DateFebruary 10, 2016
Opt-Out In Effect ThroughFebruary 10, 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 92109 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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. KYLE JAMES GERNHOFER DDS
Dentist (General Practice)
4707 MISSION BLVD
SAN DIEGO, CA 92109
San Diego County (858) 483-6851
DR. BRITTANY JORDAN NORIS DDS
Dentist
4707 MISSION BLVD
SAN DIEGO, CA 92109
San Diego County (858) 483-6851

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 Demeyer's NPI number?

The NPI number for Andrew Demeyer is 1417034471. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Andrew Demeyer located?

Andrew Demeyer practices at 4707 Mission Blvd, San Diego, CA 92109. The listed phone number is (858) 483-6851.

What is Andrew Demeyer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Andrew Demeyer enrolled in Medicare?

No. Andrew Demeyer has opted out of Medicare through February 10, 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 Demeyer was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.