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DR. MICHAEL J O'CONNOR D.D.S.
NPI 1487878625
Dentist - General Practice in Mount Clemens, MI

Active since April 12, 2007PECOS Enrolled
53 SOUTHBOUND GRATIOT AVE, MOUNT CLEMENS, MI 48043(586) 468-5025(586) 468-5008 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael J O'connor D.d.s. NPPES

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

DR. MICHAEL J O'CONNOR D.D.S. (NPI 1487878625) is an individual general practice provider in Mount Clemens, Michigan, licensed in Michigan (D16517) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487878625
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL J O'CONNORCredential: D.D.S.
Location Address53 SOUTHBOUND GRATIOT AVEMount Clemens, MI 48043-2386
Mailing Address53 Southbound Gratiot AveMount Clemens, MI 48043-2386 · (586) 468-5025 · Fax (586) 468-5008
Phone(586) 468-5025
Fax(586) 468-5008
Sole ProprietorNo
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487878625 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 · D16517
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.
53 SOUTHBOUND GRATIOT AVE, Mount Clemens, MI 48043
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Dr. Michael J O'connor 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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 2

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

DR. HAROLD P. KRAUSENECK D.D.S.
Dentist (General Practice)
53 SOUTHBOUND GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-5025
DR. KYLE MISSANT D.M.D
Dentist
53 SOUTHBOUND GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-5025

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 Michael O'connor's NPI number?

The NPI number for Michael O'connor is 1487878625. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Michael O'connor located?

Michael O'connor practices at 53 Southbound Gratiot Ave, Mount Clemens, MI 48043. The listed phone number is (586) 468-5025.

What is Michael O'connor's specialty?

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

Is Michael O'connor enrolled in Medicare?

Yes. Michael O'connor is registered in the Medicare PECOS enrollment system.

What insurance does Michael O'connor accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Michigan and 4 other insurers list Michael O'connor 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 Michael O'connor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.