DR. MIKHAIL BONDAREW DDS
NPI 1124530043
Dentist in Milwaukie, OR

Active since November 01, 2017PECOS Enrolled
6902 SE LAKE RD STE 200, MILWAUKIE, OR 97267(855) 433-6825 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2018, Nov 1, 2017 (2 updates tracked since 2017).

About Dr. Mikhail Bondarew Dds NPPES

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

DR. MIKHAIL BONDAREW DDS (NPI 1124530043) is an individual dentist in Milwaukie, Oregon, licensed in Oregon (D10788) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124530043
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MIKHAIL BONDAREWCredential: DDS
Location Address6902 SE LAKE RD STE 200Milwaukie, OR 97267-2148
Mailing AddressWillamette Dental Group, 6950 Ne Campus WayHillsboro, OR 97124 · (855) 433-6825
Sole ProprietorNo
Enumeration DateNovember 1, 2017
Last NPPES UpdateAugust 20, 20182 updates tracked since enumeration
NPI 1124530043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D10788
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.
6902 SE LAKE RD STE 200, Milwaukie, OR 97267

Accepted Insurance

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. Mikhail Bondarew Dds 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 97267 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 4

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

Dentist
6902 SE LAKE RD STE 200
MILWAUKIE, OR 97267
Dentist (General Practice)
6902 SE LAKE RD STE 200
MILWAUKIE, OR 97267
Dentist (General Practice)
6902 SE LAKE RD STE 200
MILWAUKIE, OR 97267
Dentist (General Practice)
6902 SE LAKE RD STE 200
MILWAUKIE, OR 97267

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 Mikhail Bondarew's NPI number?

The NPI number for Mikhail Bondarew is 1124530043. It was assigned to this individual provider in the NPPES registry on November 1, 2017.

Where is Mikhail Bondarew located?

Mikhail Bondarew practices at 6902 SE Lake Rd Ste 200, Milwaukie, OR 97267. The listed phone number is (855) 433-6825.

What is Mikhail Bondarew's specialty?

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

Is Mikhail Bondarew enrolled in Medicare?

Yes. Mikhail Bondarew is registered in the Medicare PECOS enrollment system.

What insurance does Mikhail Bondarew accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon and 1 other insurer list Mikhail Bondarew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mikhail Bondarew was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.