DR. NICHOLAS W. MISISCHIA DMD
NPI 1215249685
Dentist - Periodontics in Bend, OR

Q: What is Nicholas Misischia's NPI number?

The NPI number for Nicholas Misischia is 1215249685. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Q: What is Nicholas Misischia's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since July 13, 2010PECOS Enrolled

1569 SW NANCY WAY, LOWER LEVEL, BEND, OR 97702(541) 317-0255(541) 317-0355 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Nicholas W. Misischia Dmd NPPES

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

DR. NICHOLAS W. MISISCHIA DMD (NPI 1215249685) is an individual periodontics provider in Bend, Oregon, licensed in Oregon (D7709) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215249685

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. NICHOLAS W. MISISCHIACredential: DMD

Location Address1569 SW NANCY WAY, LOWER LEVELBend, OR 97702-3234

Mailing Address1569 Sw Nancy Way, Lower LevelBend, OR 97702-3234 · (541) 317-0255 · Fax (541) 317-0355

Phone(541) 317-0255

Fax(541) 317-0355

Sole ProprietorNo

Enumeration DateJuly 13, 2010

✔ NPI 1215249685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in OR · D7709

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1569 SW NANCY WAY, Bend, OR 97702

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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. Nicholas W. Misischia 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 97702 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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 20

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

DUSTIN URBAN

Counselor (Mental Health)

1569 SW NANCY WAY, SUITE 1
BEND, OR 97702

Deschutes County (541) 617-0377

EMILY PETERSEN

Counselor (Mental Health)