DR. MICHAEL DAVID KOERNER DMD
NPI 1124766423
Dentist in Detroit, MI

Active since May 25, 2022PECOS Enrolled
22201 MOROSS, PROFESSIONAL BUILDING II, SUITE 155, DETROIT, MI 48236(313) 499-4775(313) 499-4952 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Jun 9, 2022, May 25, 2022 (3 updates tracked since 2022).

About Dr. Michael David Koerner Dmd NPPES

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

DR. MICHAEL DAVID KOERNER DMD (NPI 1124766423) is an individual dentist in Detroit, Michigan, licensed in Pennsylvania (DS043703) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124766423
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MICHAEL DAVID KOERNERCredential: DMD
Location Address22201 MOROSS, PROFESSIONAL BUILDING II, SUITE 155Detroit, MI 48236
Mailing Address22201 Moross, Professional Building Ii, Suite 155Detroit, MI 48236 · (313) 499-4775 · Fax (313) 499-4952
Fax(313) 499-4952
Sole ProprietorNo
Enumeration DateMay 25, 2022
Last NPPES UpdateMay 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
NPI 1124766423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in PA · DS043703
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.
22201 MOROSS, Detroit, MI 48236

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. Michael David Koerner Dmd 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 48236 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

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

Student in an Organized Health Care Education/Training Program
22201 MOROSS, PROFESSIONAL BUILDING II, SUITE 155
DETROIT, MI 48236

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 Michael Koerner's NPI number?

The NPI number for Michael Koerner is 1124766423. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Where is Michael Koerner located?

Michael Koerner practices at 22201 Moross Professional Building II, Suite 155, Detroit, MI 48236. The listed phone number is (313) 499-4775.

What is Michael Koerner's specialty?

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

Is Michael Koerner enrolled in Medicare?

Yes. Michael Koerner is registered in the Medicare PECOS enrollment system.

What insurance does Michael Koerner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 12 other insurers list Michael Koerner 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 Michael Koerner was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.