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DR. CHAD MARK WITKOW D.D.S.
NPI 1316099179
Dentist - General Practice in Clio, MI

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
4279 W VIENNA RD, CLIO, MI 48420(810) 659-1721(810) 659-1721 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chad Mark Witkow D.d.s. NPPES

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

DR. CHAD MARK WITKOW D.D.S. (NPI 1316099179) is an individual general practice provider in Clio, Michigan, licensed in Michigan (2901018384) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Detroit Mercy School Of Dentistry (2002).

NPPES Registry Identity

NPI1316099179
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHAD MARK WITKOWCredential: D.D.S.
Location Address4279 W VIENNA RDClio, MI 48420-9440
Mailing Address4279 W Vienna RdClio, MI 48420-9440 · (810) 659-1721 · Fax (810) 659-0897
Phone(810) 659-1721
Fax(810) 659-1721
Sole ProprietorNo
Medical School CMSUniversity Of Detroit Mercy School Of DentistryGraduated 2002
Enumeration DateJanuary 18, 2007
Last NPPES UpdateSeptember 14, 2020
NPPES CertifiedSeptember 14, 2020
✔ NPI 1316099179 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 · 2901018384
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.
4279 W VIENNA RD, Clio, MI 48420
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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 and accepts Medicare assignment

Dr. Chad Mark Witkow D.d.s. 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 ID5496060584
PECOS Enrollment IDI20220627001218
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 48420 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 6

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

PASCOE DENTAL LLC
Clinic/Center (Dental)
4279 W VIENNA RD
CLIO, MI 48420
Genesee County (810) 687-2000
DR. RONALD A WRIGHT D.D.S.
Dentist (General Practice)
4279 W VIENNA RD
CLIO, MI 48420
Genesee County (810) 687-2000
CLIO FAMILY DENTISTRY PLC
Dentist (General Practice)
4279 W VIENNA RD
CLIO, MI 48420
Genesee County (810) 687-2000
MICHIGAN DENTAL SLEEP CENTER INC
Dentist (General Practice)
4279 W VIENNA RD
CLIO, MI 48420
Genesee County (810) 659-1721
MICHIGAN DENTAL SLEEP CENTER INC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
4279 W VIENNA RD
CLIO, MI 48420
Genesee County (810) 659-1721
DR. MARK J WILLIAMSON D.D.S.
Dentist (General Practice)
4279 W VIENNA RD
CLIO, MI 48420
Genesee County (810) 659-1721

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 Chad Witkow's NPI number?

The NPI number for Chad Witkow is 1316099179. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Chad Witkow located?

Chad Witkow practices at 4279 W Vienna Rd, Clio, MI 48420. The listed phone number is (810) 659-1721.

What is Chad Witkow's specialty?

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

Is Chad Witkow enrolled in Medicare?

Yes. Chad Witkow 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.

When was this NPI record last updated?

The NPPES record for Chad Witkow was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.