Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. WAYNE EUGENE WALCOTT DDS MS
NPI 1033177027
Dentist - General Practice in Ann Arbor, MI

Active since May 02, 2006PECOS Enrolled
1910 PACKARD ST, ANN ARBOR, MI 48104(734) 994-3700(734) 994-3704 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Wayne Eugene Walcott Dds Ms NPPES

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

DR. WAYNE EUGENE WALCOTT DDS MS (NPI 1033177027) is an individual general practice provider in Ann Arbor, Michigan, licensed in Michigan (11148) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033177027
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WAYNE EUGENE WALCOTTCredential: DDS MS
Location Address1910 PACKARD STAnn Arbor, MI 48104-4734
Mailing Address1910 Packard StAnn Arbor, MI 48104-4734 · (734) 994-3700 · Fax (734) 994-3704
Fax(734) 994-3704
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1033177027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 11148
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.

1910 PACKARD ST, Ann Arbor, MI 48104

Other Identifiers 1

Medicaid1533980MI

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. Wayne Eugene Walcott Dds Ms 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 48104 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 2

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

Dentist (General Practice)
1910 PACKARD ST
ANN ARBOR, MI 48104
Dentist
1910 PACKARD ST, STE. 1
ANN ARBOR, MI 48104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033177027, enumerated as an "individual" on May 02, 2006.

The provider is located at 1910 PACKARD ST ANN ARBOR, MI 48104 and the phone number is (734) 994-3700.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.