ANDREA MARIE PEZOLDT DDS
NPI 1447339353
Dentist - General Practice in Patterson, CA

Q: What is Andrea Pezoldt's NPI number?

The NPI number for Andrea Pezoldt is 1447339353. It was assigned to this individual provider in the NPPES registry on November 2, 2006. The provider is also known as Andrea Marie Scroggin.

Q: What is Andrea Pezoldt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Pezoldt was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 02, 2006PECOS Enrolled

200 C ST, PATTERSON, CA 95363(209) 892-6307(209) 892-2633 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Andrea Marie Pezoldt Dds NPPES

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

ANDREA MARIE PEZOLDT DDS (NPI 1447339353) is an individual general practice provider in Patterson, California, licensed in California (43072) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447339353

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameANDREA MARIE PEZOLDTCredential: DDS

Location Address200 C STPatterson, CA 95363-2701

Mailing Address737 West Childs AvenueMerced, CA 95340-6805 · (209) 383-1848 · Fax (209) 384-3966

Phone(209) 892-6307

Fax(209) 892-2633

Sole ProprietorNo

Enumeration DateNovember 2, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1447339353 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 · 43072

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.

200 C ST, Patterson, CA 95363

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Other Names 1

Former Name (1)Andrea Marie Scroggin

Other Identifiers 1

Other43072CA · Dental License

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Marie Pezoldt Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Pezoldt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Golden Valley Health Center

6.3 mi

Federally Qualified Health Center (FQHC)

301 HOWARD RD
Westley, CA 95387

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Golden Valley Health Centers
440 clinicians in this Medicare group

NPI 1770568347 (209) 894-3141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95363 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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 20

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

JOSHUA EDWARD SMITH PA

Physician Assistant

200 C ST
PATTERSON, CA 95363

Stanislaus County (866) 682-4842

PEDRO HEREDIA LCSW

Social Worker (Clinical)

200 C ST
PATTERSON, CA 95363

Stanislaus County (209) 892-8441

VAISHALI BENAKA HEBBAR MD

Pediatrics

200 C ST
PATTERSON, CA 95363

Stanislaus County (209) 892-8441

GOLDEN VALLEY HEALTH CENTERS

Physician Assistant (Medical)

200 C ST
PATTERSON, CA 95363

Stanislaus County (209) 892-8441

GOLDEN VALLEY HEALTH CENTERS

Physician Assistant (Medical)

200 C ST
PATTERSON, CA 95363

Stanislaus County (209) 892-8441

YUDELKA SOLANO PA-C

Physician Assistant

200 C ST
PATTERSON, CA 95363

Stanislaus County (209) 892-8441

MR. JAMES BRIAN LEVENSON NP-C

Nurse Practitioner (Family)

200 C ST
PATTERSON, CA 95363

Stanislaus County (209) 722-4842

SUKHVIR KAUR GARCHA

Nurse Practitioner (Family)

200 C ST
PATTERSON, CA 95363

Stanislaus County (209) 722-4842

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 Andrea Pezoldt's NPI number?

The NPI number for Andrea Pezoldt is 1447339353. It was assigned to this individual provider in the NPPES registry on November 2, 2006. The provider is also known as Andrea Marie Scroggin.

Where is Andrea Pezoldt located?

Andrea Pezoldt practices at 200 C St, Patterson, CA 95363. The listed phone number is (209) 892-6307.

What is Andrea Pezoldt's specialty?

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

Is Andrea Pezoldt enrolled in Medicare?

Yes. Andrea Pezoldt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Pezoldt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Pezoldt reassigns Medicare benefits to Golden Valley Health Center (Westley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Pezoldt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Pezoldt 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 Andrea Pezoldt 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 Andrea Pezoldt was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.