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DR. AVERY DEAN GOLDBERG D.D.S.
NPI 1619178852
Dentist - Oral and Maxillofacial Surgery in Winter Park, FL

Active since May 29, 2007Opted out of Medicare · through Apr 1, 2027
2045 LEE RD, WINTER PARK, FL 32789(407) 629-4444(407) 629-9078 Get Directions Write a Review

NPPES record last updated: May 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Avery Dean Goldberg D.d.s. NPPES

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

DR. AVERY DEAN GOLDBERG D.D.S. (NPI 1619178852) is an individual oral and maxillofacial surgery provider in Winter Park, Florida, licensed in Florida (DN19202) and active in the NPI registry since May 2007. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619178852
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. AVERY DEAN GOLDBERGCredential: D.D.S.
Location Address2045 LEE RDWinter Park, FL 32789-1836
Mailing Address2045 Lee RdWinter Park, FL 32789-1836 · (407) 629-4444 · Fax (407) 629-9078
Phone(407) 629-4444
Fax(407) 629-9078
Sole ProprietorNo
Enumeration DateMay 29, 2007
Last NPPES UpdateMay 22, 2015
✔ NPI 1619178852 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 · DN19202
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.
2045 LEE RD, Winter Park, FL 32789
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Avery Dean Goldberg D.d.s. 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 1, 2015 through April 1, 2027.

Opt-Out Effective DateApril 1, 2015
Opt-Out In Effect ThroughApril 1, 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 32789 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 6

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

DANIEL TRUE DMD
Dentist (Oral and Maxillofacial Surgery)
2045 LEE RD
WINTER PARK, FL 32789
Orange County (407) 629-4444
ORLANDO ORAL & FACIAL SURGERY PLLC
Dentist (Oral and Maxillofacial Surgery)
2045 LEE RD
WINTER PARK, FL 32789
Orange County (407) 629-4444
DR. DEAN H WHITMAN DMD
Dentist (Oral and Maxillofacial Surgery)
2045 LEE RD
WINTER PARK, FL 32789
Orange County (407) 629-4444
DR. AARON LYLE CAMPBELL D.M.D.
Dentist (Oral and Maxillofacial Surgery)
2045 LEE RD
WINTER PARK, FL 32789
Orange County (407) 629-4444
DR. MATTHEW B HALL DMD MD
Dentist (Oral and Maxillofacial Surgery)
2045 LEE RD
WINTER PARK, FL 32789
Orange County (407) 629-4444
PABLO MARTINEZ DMD
Dentist (Oral and Maxillofacial Surgery)
2045 LEE RD
WINTER PARK, FL 32789
Orange County (407) 629-4444

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 Avery Goldberg's NPI number?

The NPI number for Avery Goldberg is 1619178852. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Avery Goldberg located?

Avery Goldberg practices at 2045 Lee Rd, Winter Park, FL 32789. The listed phone number is (407) 629-4444.

What is Avery Goldberg's specialty?

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

Is Avery Goldberg enrolled in Medicare?

No. Avery Goldberg has opted out of Medicare through April 1, 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.

What insurance does Avery Goldberg accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Avery Goldberg 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 Avery Goldberg was last updated on May 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.