ANDREW M READ-FULLER – Oral & Maxillofacial Surgery (D.M.D.), NPI 1194024190

ANDREW M READ-FULLER is a healthcare provider. based in Dallas, Texas. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY. They hold a License No. R2208 (TX). The NPI Number for ANDREW M READ-FULLER is 1194024190

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW M READ-FULLER
NPI
1194024190
Phone
(212) 828-8965
Address
3302 GASTON AVE
Enumeration Date
16 March 2011
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
UNIV OF CALIF, LOS ANGELES SCHOOL OF DENTISTRY
Secondary Phone
2148288100
Graduation Year
2011 (15 years ago)
PAC ID
2365774577
Group Practice PAC ID
3173931292
Professional Enrollment ID
I20191021002057
Address ID
TX752261309DA3000XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

98 MAXILLOFACIAL SURGERY in TX

Provider Addresses for ANDREW M READ-FULLER

  • 3302 GASTON AVE

    DALLAS, TX 752462013

    Phone: (212) 828-8965

    Type: Location

  • 421 Wayne Ave # A

    Oakland, CA 946061150

    Phone: (510) 387-6233

    Type: Location

  • 1855 PAYNE ST APT 619

    DALLAS, TX 752012577

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $6,495.

Total Amount is formed as General ($6,495) + Research ($0) + Ownership ($0) = $6,495.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Geistlich Pharma, North America, Inc. ($6,088).

Total Amount

$6,495

General + Research + Ownership

Payments

16

Total payment records

General Amount

$6,495

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191021002057IMaxillofacial SurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 75246)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173931292View full group profile
NameSpecialtyState
Oral Surgery, Maxillofacial SurgeryTX
Oral And Maxillofacial PathologyTX
Dentist, Oral SurgeryTX
Oral SurgeryTX
Oral SurgeryMD
Oral And Maxillofacial PathologyTX
Oral And Maxillofacial PathologyTX
Oral And Maxillofacial PathologyTX

Reviews

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Frequently asked questions

How do I look up ANDREW M READ-FULLER by NPI?
Use NPI 1194024190 when you need to reference ANDREW M READ-FULLER in forms, claims, or directories.
Is ANDREW M READ-FULLER currently active in the NPI registry?
CMS-published data lists ANDREW M READ-FULLER as an active registrant.
What field does ANDREW M READ-FULLER work in?
You can think of ANDREW M READ-FULLER as practicing within Oral & Maxillofacial Surgery (D.M.D.). Clinical services aligned with this taxonomy classification.
Does ANDREW M READ-FULLER practice in Texas?
You will see Dallas, Texas on file for ANDREW M READ-FULLER alongside any extra practice locations.
How can I contact ANDREW M READ-FULLER?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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