DR. ANDY S. HOLTERY DMD
NPI 1639138498
Dentist - General Practice in Niceville, FL

Active since March 21, 2006Opted out of Medicare · through Jan 26, 2028
136 PARTIN DR N, NICEVILLE, FL 32578(850) 678-7114 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Andy S. Holtery Dmd NPPES

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

DR. ANDY S. HOLTERY DMD (NPI 1639138498) is an individual general practice provider in Niceville, Florida, licensed in Florida (DN16362) and active in the NPI registry since March 2006. He has opted out of Medicare through January 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639138498
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDY S. HOLTERYCredential: DMD
Location Address136 PARTIN DR NNiceville, FL 32578-2054
Mailing Address6028 Sterling River WayNiceville, FL 32578-1535 · (407) 310-7032
Sole ProprietorYes
Enumeration DateMarch 21, 2006
Last NPPES UpdateJune 16, 2020
NPPES CertifiedJune 16, 2020
NPI 1639138498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN16362
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.

136 PARTIN DR N, Niceville, FL 32578

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Andy S. Holtery Dmd 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 January 26, 2016 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2016
Opt-Out In Effect ThroughJanuary 26, 2028Opt-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 32578 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 4

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

Dentist
136 PARTIN DR N
NICEVILLE, FL 32578
Dentist
136 PARTIN DR N
NICEVILLE, FL 32578
Dentist
136 PARTIN DR N
NICEVILLE, FL 32578
Dentist
136 PARTIN DR N
NICEVILLE, FL 32578

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 Andy Holtery's NPI number?

The NPI number for Andy Holtery is 1639138498. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Andy Holtery located?

Andy Holtery practices at 136 Partin Dr N, Niceville, FL 32578. The listed phone number is (850) 678-7114.

What is Andy Holtery's specialty?

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

Is Andy Holtery enrolled in Medicare?

No. Andy Holtery has opted out of Medicare through January 26, 2028. 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 Andy Holtery accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Andy Holtery 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 Andy Holtery was last updated on June 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.