DR. HOWARD PAUL POTOCSKY D.D.S
NPI 1295731420
Dentist - General Practice in Riverview, MI

Active since June 22, 2005Opted out of Medicare · through Dec 28, 2027
17128 FORT ST, RIVERVIEW, MI 48192(734) 281-3200(734) 281-3890 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Howard Paul Potocsky D.d.s NPPES

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

DR. HOWARD PAUL POTOCSKY D.D.S (NPI 1295731420) is an individual general practice provider in Riverview, Michigan, licensed in Michigan (18547) and active in the NPI registry since June 2005. He has opted out of Medicare through December 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295731420
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. HOWARD PAUL POTOCSKYCredential: D.D.S
Location Address17128 FORT STRiverview, MI 48192-6619
Mailing Address17128 Fort StRiverview, MI 48192-6619 · (734) 281-3200 · Fax (734) 281-3890
Fax(734) 281-3890
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateSeptember 10, 2007
NPI 1295731420 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 · 18547
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.
17128 FORT ST, Riverview, MI 48192

Other Identifiers 2

Medicaid4462818MI
OtherJ172880MI · Blue Cross Blue Shield

Accepted Insurance

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. Howard Paul Potocsky D.d.s 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 28, 2015 through December 28, 2027.

Opt-Out Effective DateDecember 28, 2015
Opt-Out In Effect ThroughDecember 28, 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 48192 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.

Dentist
17128 FORT ST
RIVERVIEW, MI 48192

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 Howard Potocsky's NPI number?

The NPI number for Howard Potocsky is 1295731420. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Howard Potocsky located?

Howard Potocsky practices at 17128 Fort St, Riverview, MI 48192. The listed phone number is (734) 281-3200.

What is Howard Potocsky's specialty?

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

Is Howard Potocsky enrolled in Medicare?

No. Howard Potocsky has opted out of Medicare through December 28, 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 Howard Potocsky accept?

Health plans from Delta Dental of Michigan list Howard Potocsky 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 Howard Potocsky was last updated on September 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.