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DR. ANTHONY RAY SURRATT DMD
NPI 1922623529
Dentist in Aberdeen, WA

Active since June 10, 2020Opted out of Medicare · through Apr 14, 2028
505 N BROADWAY ST, ABERDEEN, WA 98520(360) 532-3888 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anthony Ray Surratt Dmd NPPES

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

DR. ANTHONY RAY SURRATT DMD (NPI 1922623529) is an individual dentist in Aberdeen, Washington, licensed in Washington (61061366) and active in the NPI registry since June 2020. He has opted out of Medicare through April 14, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922623529
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ANTHONY RAY SURRATTCredential: DMD
Location Address505 N BROADWAY STAberdeen, WA 98520-3924
Mailing Address706 Granada RdAberdeen, WA 98520-7454 · (360) 532-3888
Phone(360) 532-3888
Sole ProprietorYes
Enumeration DateJune 10, 2020
Last NPPES UpdateSeptember 3, 2021
NPPES CertifiedSeptember 3, 2021
✔ NPI 1922623529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · 61061366
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
505 N BROADWAY ST, Aberdeen, WA 98520
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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. Anthony Ray Surratt 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 April 14, 2022 through April 14, 2028.

Opt-Out Effective DateApril 14, 2022
Opt-Out In Effect ThroughApril 14, 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 98520 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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. RONALD J COWLES DDS
Dentist
505 N BROADWAY ST
ABERDEEN, WA 98520
Grays Harbor County (360) 532-3888

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 Anthony Surratt's NPI number?

The NPI number for Anthony Surratt is 1922623529. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Anthony Surratt located?

Anthony Surratt practices at 505 N Broadway St, Aberdeen, WA 98520. The listed phone number is (360) 532-3888.

What is Anthony Surratt's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Anthony Surratt enrolled in Medicare?

No. Anthony Surratt has opted out of Medicare through April 14, 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.

When was this NPI record last updated?

The NPPES record for Anthony Surratt was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.