DR. LEONARDO MANUEL RIOS-ANDERSEN D.M.D.
NPI 1699735050
Dentist - Oral and Maxillofacial Surgery in Eagle River, AK

Active since March 28, 2006Opted out of Medicare · through Dec 5, 2027
12641 OLD GLENN HWY STE 103, EAGLE RIVER, AK 99577(907) 726-5600(907) 726-5602 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2018, Feb 14, 2018 (2 updates tracked since 2018).

About Dr. Leonardo Manuel Rios-andersen D.m.d. NPPES

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

DR. LEONARDO MANUEL RIOS-ANDERSEN D.M.D. (NPI 1699735050) is an individual oral and maxillofacial surgery provider in Eagle River, Alaska, licensed in Alaska (DEND1448) and active in the NPI registry since March 2006. He has opted out of Medicare through December 5, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699735050
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LEONARDO MANUEL RIOS-ANDERSENCredential: D.M.D.
Location Address12641 OLD GLENN HWY STE 103Eagle River, AK 99577-7040
Mailing Address12641 Old Glenn Hwy Ste 103Eagle River, AK 99577-7040 · (907) 726-5600 · Fax (907) 726-5602
Fax(907) 726-5602
Sole ProprietorNo
Enumeration DateMarch 28, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1699735050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in AK · DEND1448 Licensed in PR · 02558
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.
12641 OLD GLENN HWY STE 103, Eagle River, AK 99577

Secondary Practice Locations 2

Location 15955 Zeamer Ave, Elmendorf Air Force BaseAnchorage, AK 99506-3702 · Phone (907) 580-5010 · Fax (907) 580-5022
Location 212641 Old Glenn Hwy Ste 103Eagle River, AK 99577-7040 · Phone (907) 726-5600 · Fax (907) 726-5602

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. Leonardo Manuel Rios-andersen D.m.d. 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 December 5, 2025 through December 5, 2027.

Opt-Out Effective DateDecember 5, 2025
Opt-Out In Effect ThroughDecember 5, 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 99577 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

Dentist (Oral and Maxillofacial Surgery)
12641 OLD GLENN HWY STE 103
EAGLE RIVER, AK 99577

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 Leonardo Rios-andersen's NPI number?

The NPI number for Leonardo Rios-andersen is 1699735050. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Leonardo Rios-andersen located?

Leonardo Rios-andersen practices at 12641 Old Glenn Hwy Ste 103, Eagle River, AK 99577. The listed phone number is (907) 726-5600.

What is Leonardo Rios-andersen's specialty?

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

Is Leonardo Rios-andersen enrolled in Medicare?

No. Leonardo Rios-andersen has opted out of Medicare through December 5, 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 Leonardo Rios-andersen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Alaska and 6 other insurers list Leonardo Rios-andersen 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 Leonardo Rios-andersen was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.