DR. ANDREW GREGORY PETERSON DMD, MS
NPI 1619318755
Dentist - Periodontics in Claremont, CA

Q: What is Andrew Peterson's NPI number?

The NPI number for Andrew Peterson is 1619318755. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Q: What is Andrew Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Peterson was last updated on December 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 16, 2013PECOS Enrolled

460 CHAMPLAIN DR, CLAREMONT, CA 91711(406) 861-8844 Get Directions Write a Review

NPPES record last updated: December 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2020, Sep 19, 2018, Jul 29, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Andrew Gregory Peterson Dmd, Ms NPPES

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

DR. ANDREW GREGORY PETERSON DMD, MS (NPI 1619318755) is an individual periodontics provider in Claremont, California, licensed in California (103423) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619318755

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. ANDREW GREGORY PETERSONCredential: DMD, MS

Location Address460 CHAMPLAIN DRClaremont, CA 91711-2753

Mailing Address460 Champlain DrClaremont, CA 91711-2753 · (406) 861-8844

Phone(406) 861-8844

Sole ProprietorNo

Enumeration DateJuly 16, 2013

Last NPPES UpdateDecember 20, 20204 updates tracked since enumeration

NPPES CertifiedDecember 20, 2020

✔ NPI 1619318755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in CA · 103423✔ Licensed in OR · D9905

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

460 CHAMPLAIN DR, Claremont, CA 91711

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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 Gregory Peterson Dmd, Ms 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 91711 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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 Peterson's NPI number?

The NPI number for Andrew Peterson is 1619318755. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Where is Andrew Peterson located?

Andrew Peterson practices at 460 Champlain Dr, Claremont, CA 91711. The listed phone number is (406) 861-8844.

What is Andrew Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Andrew Peterson enrolled in Medicare?

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

What insurance does Andrew Peterson 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 6 other insurers list Andrew Peterson 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 Peterson was last updated on December 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.