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ANTHONY COYLE FASI DDS, MD
NPI 1659690204
Dentist - Oral and Maxillofacial Surgery in Ann Arbor, MI

Active since May 21, 2010PECOS Enrolled
2058 SOUTH STATE STREET, SUITE 100, ANN ARBOR, MI 48104(734) 769-5302 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony Coyle Fasi Dds, Md NPPES

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

ANTHONY COYLE FASI DDS, MD (NPI 1659690204) is an individual oral and maxillofacial surgery provider in Ann Arbor, Michigan, licensed in Michigan (2901020181) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659690204
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameANTHONY COYLE FASICredential: DDS, MD
Location Address2058 SOUTH STATE STREET, SUITE 100Ann Arbor, MI 48104
Mailing Address2058 South State Street, Suite 100Ann Arbor, MI 48104
Phone(734) 769-5302
Sole ProprietorYes
Enumeration DateMay 21, 2010
Last NPPES UpdateOctober 6, 2016
✔ NPI 1659690204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901020181
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2901020181 (MI)
2058 SOUTH STATE STREET, Ann Arbor, MI 48104
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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)

Anthony Coyle Fasi Dds, Md 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 48104 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

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

MATTHEW EDWARD MCBEAN PT
Physical Therapist
2058 SOUTH STATE STREET, SUITE 500
ANN ARBOR, MI 48104
Washtenaw County (734) 913-0300

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 Anthony Fasi's NPI number?

The NPI number for Anthony Fasi is 1659690204. It was assigned to this individual provider in the NPPES registry on May 21, 2010.

Where is Anthony Fasi located?

Anthony Fasi practices at 2058 South State Street Suite 100, Ann Arbor, MI 48104. The listed phone number is (734) 769-5302.

What is Anthony Fasi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Anthony Fasi enrolled in Medicare?

Yes. Anthony Fasi is registered in the Medicare PECOS enrollment system.

What insurance does Anthony Fasi 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 2 other insurers list Anthony Fasi 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 Anthony Fasi was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.