DR. THOMAS MICHAEL KIRKDORFER DDS
NPI 1164526596
Dentist - General Practice in Stevensville, MI

Q: What is Thomas Kirkdorfer's NPI number?

The NPI number for Thomas Kirkdorfer is 1164526596. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is Thomas Kirkdorfer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Thomas Kirkdorfer enrolled in Medicare?

No. Thomas Kirkdorfer has opted out of Medicare through December 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Thomas Kirkdorfer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 07, 2006Opted out of Medicare · through Dec 13, 2027

2795 KIMMEL ST, STEVENSVILLE, MI 49127(269) 429-7474(269) 429-7565 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Thomas Michael Kirkdorfer Dds NPPES

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

DR. THOMAS MICHAEL KIRKDORFER DDS (NPI 1164526596) is an individual general practice provider in Stevensville, Michigan, licensed in Michigan (2901011583) and active in the NPI registry since September 2006. He has opted out of Medicare through December 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164526596

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. THOMAS MICHAEL KIRKDORFERCredential: DDS

Location Address2795 KIMMEL STStevensville, MI 49127-0237

Mailing AddressPo Box 237, 2795 Kimmel StStevensville, MI 49127-0237 · (269) 429-7474 · Fax (269) 429-7565

Phone(269) 429-7474

Fax(269) 429-7565

Sole ProprietorNo

Enumeration DateSeptember 7, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164526596 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 · 2901011583

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.

2795 KIMMEL ST, Stevensville, MI 49127

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Thomas Michael Kirkdorfer Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 13, 2015 through December 13, 2027.

Opt-Out Effective DateDecember 13, 2015

Opt-Out In Effect ThroughDecember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49127 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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 Thomas Kirkdorfer's NPI number?

The NPI number for Thomas Kirkdorfer is 1164526596. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Thomas Kirkdorfer located?

Thomas Kirkdorfer practices at 2795 Kimmel St, Stevensville, MI 49127. The listed phone number is (269) 429-7474.

What is Thomas Kirkdorfer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomas Kirkdorfer enrolled in Medicare?

No. Thomas Kirkdorfer has opted out of Medicare through December 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Thomas Kirkdorfer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.