NICKY MARTIN TOVAR
NPI 1528623154
Dentist - Oral and Maxillofacial Surgery in Boynton Beach, FL

Active since May 09, 2019PECOS EnrolledAccepts Medicare Assignment
3695 W BOYNTON BEACH BLVD STE 1, BOYNTON BEACH, FL 33436(561) 364-1800(561) 364-1906 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2024, May 9, 2019 (2 updates tracked since 2019).

About Nicky Martin Tovar NPPES

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

NICKY MARTIN TOVAR (NPI 1528623154) is an individual oral and maxillofacial surgery provider in Boynton Beach, Florida, licensed in Florida (DN29491) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of New York University College Of Dentistry (2024).

NPPES Registry Identity

NPI1528623154
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameNICKY MARTIN TOVAR
Location Address3695 W BOYNTON BEACH BLVD STE 1Boynton Beach, FL 33436-4516
Mailing Address3695 W Boynton Beach Blvd Ste 1Boynton Beach, FL 33436-4516 · (561) 364-1800 · Fax (561) 364-1906
Fax(561) 364-1906
Sole ProprietorYes
Medical School CMSNew York University College Of DentistryGraduated 2024
Enumeration DateMay 9, 2019
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1528623154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in FL · DN29491
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3695 W BOYNTON BEACH BLVD STE 1, Boynton Beach, FL 33436

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicky Martin Tovar is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658809272
PECOS Enrollment IDI20250110000722
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 Nicky Tovar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oral and Maxillofacial Surgery
3695 W BOYNTON BEACH BLVD STE 1
Boynton Beach, FL 33436
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group

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 33436 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Dentist (Oral and Maxillofacial Surgery)
3695 W BOYNTON BEACH BLVD STE 1
BOYNTON BEACH, FL 33436
Dentist (Oral and Maxillofacial Surgery)
3695 W BOYNTON BEACH BLVD STE 1
BOYNTON BEACH, FL 33436

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 Nicky Tovar's NPI number?

The NPI number for Nicky Tovar is 1528623154. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Where is Nicky Tovar located?

Nicky Tovar practices at 3695 W Boynton Beach Blvd Ste 1, Boynton Beach, FL 33436. The listed phone number is (561) 364-1800.

What is Nicky Tovar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Nicky Tovar enrolled in Medicare?

Yes. Nicky Tovar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicky Tovar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicky Tovar reassigns Medicare benefits to Boynton Oral Surgery And Implant Center PLLC (Boynton Beach, FL). 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 Nicky Tovar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicky Tovar accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Nicky Tovar 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 Nicky Tovar was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.