DR. ANDREW T. MCCORMICK DDS
NPI 1699806117
Dentist - General Practice in Santa Rosa, CA

Q: What is Andrew Mccormick's NPI number?

The NPI number for Andrew Mccormick is 1699806117. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Q: What is Andrew Mccormick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Mccormick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 March 08, 2007PECOS Enrolled

855 FOUNTAIN GROVE PKWY, STE. 200, SANTA ROSA, CA 95403(707) 579-9993(707) 566-0912 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Andrew T. Mccormick Dds NPPES

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

DR. ANDREW T. MCCORMICK DDS (NPI 1699806117) is an individual general practice provider in Santa Rosa, California, licensed in California (31325) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699806117

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ANDREW T. MCCORMICKCredential: DDS

Location Address855 FOUNTAIN GROVE PKWY, STE. 200Santa Rosa, CA 95403-5736

Mailing Address855 Fountain Grove Pkwy, Ste. 200Santa Rosa, CA 95403-5736 · (707) 579-9993 · Fax (707) 566-0912

Phone(707) 579-9993

Fax(707) 566-0912

Sole ProprietorYes

Enumeration DateMarch 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1699806117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 31325

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.

855 FOUNTAIN GROVE PKWY, Santa Rosa, CA 95403

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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 T. Mccormick 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 95403 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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. ALEC CLARK NELSON DMD

Dentist (General Practice)

855 FOUNTAIN GROVE PKWY, SUITE 100
SANTA ROSA, CA 95403

Sonoma County (707) 546-2829

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 Mccormick's NPI number?

The NPI number for Andrew Mccormick is 1699806117. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Andrew Mccormick located?

Andrew Mccormick practices at 855 Fountain Grove Pkwy Ste. 200, Santa Rosa, CA 95403. The listed phone number is (707) 579-9993.

What is Andrew Mccormick's specialty?

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

Is Andrew Mccormick enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrew Mccormick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.