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DR. ANDREA ELENBAAS D.M.D.
NPI 1922125947
Dentist - Orofacial Pain in Gulfport, MS

Active since March 23, 2007PECOS Enrolled
370 COURTHOUSE RD STE 103, GULFPORT, MS 39507(228) 203-1700(228) 203-1770 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Andrea Elenbaas D.m.d. NPPES

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

DR. ANDREA ELENBAAS D.M.D. (NPI 1922125947) is an individual orofacial pain provider in Gulfport, Mississippi, licensed in Mississippi (2934-96) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Mississippi Medical Center School Of Dentistry (1996).

NPPES Registry Identity

NPI1922125947
Entity TypeIndividualFemale
Primary Taxonomy1223X2210X
Provider Legal NameDR. ANDREA ELENBAASCredential: D.M.D.
Location Address370 COURTHOUSE RD STE 103Gulfport, MS 39507-1889
Mailing Address370 Courthouse Rd Ste 103Gulfport, MS 39507-1889 · (228) 203-1700 · Fax (228) 203-1770
Phone(228) 203-1700
Fax(228) 203-1770
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi Medical Center School Of DentistryGraduated 1996
Enumeration DateMarch 23, 2007
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1922125947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License✔ Licensed in MS · 2934-96
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2934-96 (MS)
370 COURTHOUSE RD STE 103, Gulfport, MS 39507
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrea Elenbaas D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406173939
PECOS Enrollment IDI20231211001769
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Elenbaas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orofacial Pain, PLLC
Same address
Orofacial Pain
370 COURTHOUSE RD STE 103
Gulfport, MS 39507
  • Reassigned Medicare billing, Mississippi enrollment
NPI 1710768643 (228) 203-1700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39507 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES

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

OROFACIAL PAIN, PLLC
Dentist (Orofacial Pain)
370 COURTHOUSE RD STE 103
GULFPORT, MS 39507
Harrison County (228) 203-1700

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 Andrea Elenbaas's NPI number?

The NPI number for Andrea Elenbaas is 1922125947. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Andrea Elenbaas located?

Andrea Elenbaas practices at 370 Courthouse Rd Ste 103, Gulfport, MS 39507. The listed phone number is (228) 203-1700.

What is Andrea Elenbaas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Andrea Elenbaas enrolled in Medicare?

Yes. Andrea Elenbaas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Elenbaas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Elenbaas reassigns Medicare benefits to Orofacial Pain, PLLC (Gulfport, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Elenbaas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Elenbaas was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.