Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANDREW I RADOVAN DDS
NPI 1548226111
Dentist - Oral and Maxillofacial Surgery in Plover, WI

Q: What is Andrew Radovan's NPI number?

The NPI number for Andrew Radovan is 1548226111. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Q: What is Andrew Radovan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Radovan was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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 April 24, 2006PECOS Enrolled

1290 COMMERCE PL, PLOVER, WI 54467(715) 341-4700(715) 341-3072 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Andrew I Radovan Dds NPPES

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

DR. ANDREW I RADOVAN DDS (NPI 1548226111) is an individual oral and maxillofacial surgery provider in Plover, Wisconsin, licensed in Wisconsin (1001492-15) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548226111

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. ANDREW I RADOVANCredential: DDS

Location Address1290 COMMERCE PLPlover, WI 54467-4132

Mailing Address1290 Commerce PlPlover, WI 54467-4132 · (715) 341-4700 · Fax (715) 341-3072

Phone(715) 341-4700

Fax(715) 341-3072

Sole ProprietorNo

Enumeration DateApril 24, 2006

Last NPPES UpdateSeptember 30, 2026

NPPES CertifiedSeptember 30, 2026

✔ NPI 1548226111 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 WI · 1001492-15

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.

1290 COMMERCE PL, Plover, WI 54467

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew I Radovan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54467 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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

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

DR. MICHAEL J REYES D.D.S.

Dentist

1290 COMMERCE PL
PLOVER, WI 54467

Portage County (715) 341-4700

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 Radovan's NPI number?

The NPI number for Andrew Radovan is 1548226111. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Andrew Radovan located?

Andrew Radovan practices at 1290 Commerce Pl, Plover, WI 54467. The listed phone number is (715) 341-4700.

What is Andrew Radovan's specialty?

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

Is Andrew Radovan enrolled in Medicare?

Yes. Andrew Radovan is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Radovan 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 17 other insurers list Andrew Radovan 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 Andrew Radovan was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.