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DR. MICHAEL LEE HETSKO DDS
NPI 1639166978
Dentist in Riverside, CA

Active since October 03, 2005PECOS Enrolled
2933 UNIVERSITY AVE, RIVERSIDE, CA 92507(951) 224-8230(505) 784-6028 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael Lee Hetsko Dds NPPES

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

DR. MICHAEL LEE HETSKO DDS (NPI 1639166978) is an individual dentist in Riverside, California, licensed in California (58077) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Moreno Valley.

NPPES Registry Identity

NPI1639166978
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MICHAEL LEE HETSKOCredential: DDS
Location Address2933 UNIVERSITY AVERiverside, CA 92507-4243
Mailing Address23477 Bending Oak CtMurrieta, CA 92562-3300 · (951) 544-1515
Phone(951) 224-8230
Fax(505) 784-6028
Sole ProprietorNo
Enumeration DateOctober 3, 2005
Last NPPES UpdateJune 12, 2020
NPPES CertifiedJune 12, 2020
✔ NPI 1639166978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 58077
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2933 UNIVERSITY AVE, Riverside, CA 92507
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Secondary Practice Location 1

Location 122675 Alessandro BlvdMoreno Valley, CA 92553-8551 · Phone (951) 571-2365

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Michael Lee Hetsko Dds 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 Michael Hetsko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Systems, Inc.
Same address
Federally Qualified Health Center (FQHC)
2933 UNIVERSITY AVE
Riverside, CA 92507
  • Reassigned Medicare billing, California enrollment
  • 86 clinicians in this Medicare group
NPI 1205102068 (951) 224-8220

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 92507 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 5

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

MAIYING HER CPNP-PC
Nurse Practitioner (Pediatrics)
2933 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (951) 224-8220
MUHAMMAD UMER M.D.
Family Medicine
2933 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (951) 224-8220
COMMUNITY HEALTH SYSTEMS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2933 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (951) 224-8220
MRS. CLAUDIA JEANNETHE CARDOZA LCSW
Social Worker (Clinical)
2933 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (951) 224-8220
MISS ANEL FLORES HURTADO
Nurse Practitioner
2933 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (951) 224-8220

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 Hetsko's NPI number?

The NPI number for Michael Hetsko is 1639166978. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Michael Hetsko located?

Michael Hetsko practices at 2933 University Ave, Riverside, CA 92507. The listed phone number is (951) 224-8230.

What is Michael Hetsko's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Michael Hetsko enrolled in Medicare?

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

Which organization bills Medicare for Michael Hetsko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hetsko reassigns Medicare benefits to Community Health Systems, Inc. (Riverside, CA). 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 Michael Hetsko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Hetsko accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Michael Hetsko 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 Hetsko was last updated on June 12, 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.