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CRAIG J PILICHOWSKI DPM
NPI 1467450551
Podiatrist in Alpena, MI

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
321 LONG RAPIDS PLZ, ALPENA, MI 49707(989) 354-3309(989) 354-9190 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Craig J Pilichowski Dpm NPPES

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

CRAIG J PILICHOWSKI DPM (NPI 1467450551) is an individual podiatrist in Alpena, Michigan, licensed in Michigan (5901001908) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and is a graduate of Barry University School Of Podiatric Medicine (1996).

NPPES Registry Identity

NPI1467450551
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameCRAIG J PILICHOWSKICredential: DPM
Location Address321 LONG RAPIDS PLZAlpena, MI 49707-1375
Mailing Address321 Long Rapids PlzAlpena, MI 49707-1375 · (989) 354-3309 · Fax (989) 354-9190
Phone(989) 354-3309
Fax(989) 354-9190
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 1996
Enumeration DateJuly 12, 2005
Last NPPES UpdateAugust 8, 2012
✔ NPI 1467450551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MI · 5901001908
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
321 LONG RAPIDS PLZ, Alpena, MI 49707
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Other Identifiers 4

OtherCP001908MI · Michigan License Number
Medicare ID-Type Unspecified0N21940001MI
Medicare UPINU71441MI
Medicaid4271530MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Craig J Pilichowski Dpm 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 ID9931013026
PECOS Enrollment IDI20031113000550
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,339 services448 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
151 services148 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
145 services100 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
133 services54 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
106 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
102 services102 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number230036
Location1501 W Chisholm StAlpena, MI 49707 · Alpena County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49707 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.66
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%470 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
4 suppliers49 claims98 services$60.00 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
3 suppliers36 claims216 services$24.98 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
2 suppliers12 claims69 services$36.39 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier13 claims13 services$38.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

NORTHERN FOOT & ANKLE CENTERS P.C.
Podiatrist (Primary Podiatric Medicine)
321 LONG RAPIDS PLZ
ALPENA, MI 49707
Alpena County (989) 354-3309
ANDREW KANNY
Podiatrist (Foot & Ankle Surgery)
321 LONG RAPIDS PLZ
ALPENA, MI 49707
Alpena County (989) 354-3309
MORGAN GASCOYNE DPM
Podiatrist
321 LONG RAPIDS PLZ
ALPENA, MI 49707
Alpena County (989) 354-3309

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 Craig Pilichowski's NPI number?

The NPI number for Craig Pilichowski is 1467450551. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Craig Pilichowski located?

Craig Pilichowski practices at 321 Long Rapids Plz, Alpena, MI 49707. The listed phone number is (989) 354-3309.

What is Craig Pilichowski's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Craig Pilichowski enrolled in Medicare?

Yes. Craig Pilichowski 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 Craig Pilichowski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Craig Pilichowski 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.

Is Craig Pilichowski affiliated with any hospitals?

According to CMS data, Craig Pilichowski is affiliated with Mymichigan Medical Center Alpena.

When was this NPI record last updated?

The NPPES record for Craig Pilichowski was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.