ANDREW DOTZLER, MPO, CPO — NPI 1629940911 (Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers

CMS-1500 Box 24J / 33a • NPI

1629940911

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

224P00000X (CMS 56)

Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist

Box 32 Service Location & ZIP+4

804 CARLA DR, BOONVILLE, MO, 65233-1866

✓ 9-Digit EDI 837 ZIP+4 (65233-1866)

Practice Phone & Referral Fax

(402) 707-4006

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1629940911 (ANDREW DOTZLER, MPO, CPO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1629940911` (NPI-1 Individual Practitioner)
Provider / Legal Name	ANDREW DOTZLER, MPO, CPO
Plain-English Specialty	Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist NUCC Code: `224P00000X` (Prosthetist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	804 CARLA DR, BOONVILLE, MO, 65233-1866
Practice Telephone / Fax	Tel: (402) 707-4006
Administrative Mailing Address	804 CARLA DR, BOONVILLE, MO, 65233-1866
Enumeration & Last Sync	Enumerated: 2025-09-18 \| CMS Record Updated: 2025-09-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

804 CARLA DR, BOONVILLE, MO, 65233-1866

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Plain-English Taxonomy & CMS Crosswalk (224P00000X)

What Does Taxonomy Code 224P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 224P00000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 56 (Individual Certified Prosthetist) • CMS Code 57 (Individual Certified Prosthetist-Orthotist) • CMS Code B2 (Pedorthic personnel)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Prosthetist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANDREW DOTZLER, MPO, CPO)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`224P00000X` — Prosthetist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANDREW DOTZLER, MPO, CPO (NPI #1629940911)