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MICHAEL D DEROSA DDS
NPI 1235290990
Dentist - General Practice in Saint Clairsville, OH

Active since December 13, 2006Opted out of Medicare · through Dec 22, 2027
156 WOODROW AVE STE 2, SAINT CLAIRSVILLE, OH 43950(740) 695-5400(740) 695-4998 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael D Derosa Dds NPPES

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

MICHAEL D DEROSA DDS (NPI 1235290990) is an individual general practice provider in Saint Clairsville, Ohio, licensed in Ohio (OH17645) and active in the NPI registry since December 2006. He has opted out of Medicare through December 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235290990
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL D DEROSACredential: DDS
Location Address156 WOODROW AVE STE 2Saint Clairsville, OH 43950-1181
Mailing Address156 Woodrow Ave Ste 2Saint Clairsville, OH 43950-1181 · (740) 695-5400 · Fax (740) 695-4998
Phone(740) 695-5400
Fax(740) 695-4998
Sole ProprietorYes
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235290990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · OH17645
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.
156 WOODROW AVE STE 2, Saint Clairsville, OH 43950
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Michael D Derosa 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 22, 2015 through December 22, 2027.

Opt-Out Effective DateDecember 22, 2015
Opt-Out In Effect ThroughDecember 22, 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 43950 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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 Michael Derosa's NPI number?

The NPI number for Michael Derosa is 1235290990. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Michael Derosa located?

Michael Derosa practices at 156 Woodrow Ave Ste 2, Saint Clairsville, OH 43950. The listed phone number is (740) 695-5400.

What is Michael Derosa's specialty?

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

Is Michael Derosa enrolled in Medicare?

No. Michael Derosa has opted out of Medicare through December 22, 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.

What insurance does Michael Derosa 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, Delta Dental of Ohio and Florida Combined Life and 5 other insurers list Michael Derosa 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 Derosa 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.