DR. BRYAN S MICHALOWICZ DDS, MS
NPI 1306909023
Dentist - Periodontics in St. Paul, MN

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

Active since December 18, 2006PECOS Enrolled

2500 COMO AVENUE, ST. PAUL, MN 55108(651) 429-2299(651) 429-6630 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Bryan S Michalowicz Dds, Ms NPPES

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

DR. BRYAN S MICHALOWICZ DDS, MS (NPI 1306909023) is an individual periodontics provider in St. Paul, Minnesota, licensed in Minnesota (10028) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306909023

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. BRYAN S MICHALOWICZCredential: DDS, MS

Location Address2500 COMO AVENUESt. Paul, MN 55108-1460

Mailing Address2500 Como AvenueSt. Paul, MN 55108-1460 · (651) 647-2500 · Fax (651) 632-8984

Phone(651) 429-2299

Fax(651) 429-6630

Sole ProprietorNo

Enumeration DateDecember 18, 2006

Last NPPES UpdateJanuary 5, 2015

✔ NPI 1306909023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MN · 10028

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.

2500 COMO AVENUE, St. Paul, MN 55108

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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. Bryan S Michalowicz Dds, Ms 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 55108 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.