OLA KOBIERZYCKI DDS
NPI 1255913851
Dentist - General Practice in Grand Rapids, MI

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment
555 MIDTOWNE ST NE STE 104, GRAND RAPIDS, MI 49503(616) 784-9150 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Dec 20, 2025, Dec 7, 2025 and 2 more (5 updates tracked since 2021).

About Ola Kobierzycki Dds NPPES

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

OLA KOBIERZYCKI DDS (NPI 1255913851) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (2901600915) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan School Of Dentistry (2021).

NPPES Registry Identity

NPI1255913851
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameOLA KOBIERZYCKICredential: DDS
Location Address555 MIDTOWNE ST NE STE 104Grand Rapids, MI 49503-5731
Mailing Address555 Midtowne St Ne Ste 104Grand Rapids, MI 49503-5731
Sole ProprietorYes
Medical School CMSUniversity Of Michigan School Of DentistryGraduated 2021
Enumeration DateApril 22, 2021
Last NPPES UpdateJune 1, 20265 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
NPI 1255913851 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 · 2901600915
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.
555 MIDTOWNE ST NE STE 104, Grand Rapids, MI 49503

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 and accepts Medicare assignment

Ola Kobierzycki Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820592702
PECOS Enrollment IDI20250922001992
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 49503 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.

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
555 MIDTOWNE ST NE STE 104
GRAND RAPIDS, MI 49503

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 Ola Kobierzycki's NPI number?

The NPI number for Ola Kobierzycki is 1255913851. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Ola Kobierzycki located?

Ola Kobierzycki practices at 555 Midtowne St NE Ste 104, Grand Rapids, MI 49503. The listed phone number is (616) 784-9150.

What is Ola Kobierzycki's specialty?

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

Is Ola Kobierzycki enrolled in Medicare?

Yes. Ola Kobierzycki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ola Kobierzycki 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 Michigan and Guardian and 2 other insurers list Ola Kobierzycki 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 Ola Kobierzycki was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.