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

Active since January 18, 2007PECOS Enrolled
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: November 01, 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.

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
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

Medicare enrollment records show Chad Witkow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Michigan Head & Neck Institute PC
59 mi
Dentist
3665 E 11 MILE RD
Warren, MI 48092
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
NPI 1104871250 (586) 573-0438

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organization bills Medicare for Chad Witkow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chad Witkow reassigns Medicare benefits to Michigan Head & Neck Institute PC (Warren, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chad Witkow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chad Witkow accept?

Health plans from Delta Dental of Michigan list Chad Witkow 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 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 6 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.