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DONALD GARY WOLFORD DDS
NPI 1659355063
Oral & Maxillofacial Surgery in St Clair Shores, MI

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
22811 MACK AVE, L1, ST CLAIR SHORES, MI 48080(586) 777-1331(586) 777-2358 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donald Gary Wolford Dds NPPES

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

DONALD GARY WOLFORD DDS (NPI 1659355063) is an individual oral & maxillofacial surgery provider in St Clair Shores, Michigan, licensed in Michigan (2901010985) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1967).

NPPES Registry Identity

NPI1659355063
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDONALD GARY WOLFORDCredential: DDS
Location Address22811 MACK AVE, L1St Clair Shores, MI 48080-2021
Mailing Address22811 Mack Ave, L1St Clair Shores, MI 48080-2021 · (586) 777-1331 · Fax (586) 777-2358
Phone(586) 777-1331
Fax(586) 777-2358
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1967
Enumeration DateNovember 30, 2005
Last NPPES UpdateJuly 13, 2010
✔ NPI 1659355063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MI · 2901010985
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
22811 MACK AVE, St Clair Shores, MI 48080
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Other Names 1

Professional Name (2)D Gary Wolford Dds

Other Identifiers 4

Other9755060680MI · Blue Cross Blue Shield
Medicaid102991246MI
Medicare ID-Type Unspecified0M92420MI
Medicare UPINU23186

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald Gary Wolford Dds 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 ID840487690
PECOS Enrollment IDI20101207000249
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 Donald Wolford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

D Gary Wolford DDS PC
Same address
Oral & Maxillofacial Surgery
22811 MACK AVE, SUITE L-1
Saint Clair Shores, MI 48080
  • Reassigned Medicare billing, Michigan enrollment
NPI 1114229911 (586) 777-1331

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

Areas of Expertise CMS Part B claims 7

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.

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.
34 services17 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
18 services16 patients
X-ray of face bones, 1-2 views 70140
An X-ray of face bones, with 1-2 views, is a simple, quick imaging test. It uses a small amount of radiation to produce images of the bones in your face. This test can help detect fractures, infections, or other abnormalities. It's painless and non-invasive.
17 services15 patients
X-ray of skull, 1-3 views 70250
An X-ray of the skull involves capturing images of the bones and tissues in your head. This test helps identify issues like fractures, infections, or tumors. The '1-3 views' means pictures will be taken from one to three different angles for a comprehensive assessment.
17 services15 patients
Imaging of jaws and skull 70350
Imaging of jaws and skull involves taking detailed pictures of these areas to help diagnose and treat various conditions. This can include X-rays, CT scans, or MRI scans. These images allow doctors to view the bone structure, tissues, and any abnormalities present. It's a safe and painless process.
17 services15 patients
X-ray of body plane 76100
An X-ray of a body plane is a non-invasive imaging test that helps visualize the inside of your body. It uses a small amount of radiation to produce images of structures within your body, such as bones and organs. This procedure aids in diagnosing, monitoring, and treating various medical conditions.
17 services15 patients

Other Providers at the Same Location NPPES 4

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

D GARY WOLFORD DDS PC
Oral & Maxillofacial Surgery
22811 MACK AVE, SUITE L-1
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-1331
JOHN A RYAN PHD PC
Psychologist (Clinical)
22811 MACK AVE, SUITE L3
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-3988
MS. LINDA MARY LAWRENCE PSY.S.
Psychologist
22811 MACK AVE, SUITE L-3
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-0470
DR. VALERIE ILENE KVALE LONG PH.D.
Psychologist (Clinical)
22811 MACK AVE, SUITE L-3
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-0470

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 Donald Wolford's NPI number?

The NPI number for Donald Wolford is 1659355063. It was assigned to this individual provider in the NPPES registry on November 30, 2005. The provider is also known as D Gary Wolford Dds.

Where is Donald Wolford located?

Donald Wolford practices at 22811 Mack Ave L1, St Clair Shores, MI 48080. The listed phone number is (586) 777-1331.

What is Donald Wolford's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Donald Wolford enrolled in Medicare?

Yes. Donald Wolford 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.

Which organization bills Medicare for Donald Wolford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Wolford reassigns Medicare benefits to D Gary Wolford DDS PC (Saint Clair Shores, 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 Donald Wolford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Wolford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Care Network of Michigan and 14 other insurers list Donald Wolford 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 Donald Wolford was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.