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DR. MICHAEL POTH D.D.S., M.S.
NPI 1578549804
Dentist - Periodontics in Wright-patterson Afb, OH

Active since December 19, 2005PECOS Enrolled
4881 SUGAR MAPLE DR., WRIGHT-PATTERSON AFB, OH 45433(937) 656-3913 Get Directions Write a Review

NPPES record last updated: June 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Poth D.d.s., M.s. NPPES

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

DR. MICHAEL POTH D.D.S., M.S. (NPI 1578549804) is an individual periodontics provider in Wright-patterson Afb, Ohio, licensed in Ohio (19153) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578549804
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MICHAEL POTHCredential: D.D.S., M.S.
Location Address4881 SUGAR MAPLE DR.Wright-patterson Afb, OH 45433
Mailing Address4881 Sugar Maple Dr.Wright-patterson Afb, OH 45433 · (937) 656-3913
Phone(937) 656-3913
Sole ProprietorNo
Enumeration DateDecember 19, 2005
Last NPPES UpdateJune 14, 2013
✔ NPI 1578549804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in OH · 19153
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.
4881 SUGAR MAPLE DR., Wright-patterson Afb, OH 45433
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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. Michael Poth D.d.s., M.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 45433 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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 2

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

DAVID PAUL SUPINSKI JR. P.A.
Physician Assistant (Medical)
4881 SUGAR MAPLE DR., ER/SGOE
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-0770
RICHARD HIMES PA
Physician Assistant
4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AIR FORCE BASE, OH 45433
Greene County (937) 257-1574

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 Poth's NPI number?

The NPI number for Michael Poth is 1578549804. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Michael Poth located?

Michael Poth practices at 4881 Sugar Maple Dr., Wright-Patterson Afb, OH 45433. The listed phone number is (937) 656-3913.

What is Michael Poth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Michael Poth enrolled in Medicare?

Yes. Michael Poth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Poth was last updated on June 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.