PETER J POLVERINI DDS, DMSC
NPI 1699808857
Dentist - Oral and Maxillofacial Pathology in Ann Arbor, MI

Q: What is Peter Polverini's NPI number?

The NPI number for Peter Polverini is 1699808857. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Q: What is Peter Polverini's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Q: When was this NPI record last updated?

The NPPES record for Peter Polverini was last updated on January 29, 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.

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment

1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109(734) 763-6933(734) 763-5142 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 29, 2020, Apr 17, 2017, Nov 9, 2016 (3 updates tracked since 2016).

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About Peter J Polverini Dds, Dmsc NPPES

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

PETER J POLVERINI DDS, DMSC (NPI 1699808857) is an individual oral and maxillofacial pathology provider in Ann Arbor, Michigan, licensed in Michigan (2901016040) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1699808857

Entity TypeIndividualMale

Primary Taxonomy1223P0106X

Provider Legal NamePETER J POLVERINICredential: DDS, DMSC

Location Address1011 N UNIVERSITY AVEAnn Arbor, MI 48109-1078

Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453

Phone(734) 763-6933

Fax(734) 763-5142

Sole ProprietorYes

Medical School CMSOtherGraduated 1973

Enumeration DateMarch 14, 2007

Last NPPES UpdateJanuary 29, 20203 updates tracked since enumeration

✔ NPI 1699808857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers

Taxonomy Code1223P0106X

License✔ Licensed in MI · 2901016040

Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

Also ListedDentistTaxonomy 122300000X · License 2901016040 (MI)

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 2901016040 (MI)

1011 N UNIVERSITY AVE, Ann Arbor, MI 48109

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Other Identifiers 6

Other195816845MI · Bcbs Of Mi Med Surgical

Medicaid2667583OH

Medicaid4070694MI

Medicaid4874042MI

OtherD160400MI · Bcbs Of Mi Dental

Medicaid4504373MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter J Polverini Dds, Dmsc 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 ID9436112802

PECOS Enrollment IDI20041105001051

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.

Areas of Expertise CMS Part B claims

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

35 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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 20

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

DAMIEN S KAISER DDS

Dentist (General Practice)

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 647-4166

NICK SIMONE DDS

Dentist (General Practice)

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 763-1375

SUMANT RAM DDS

Dentist (General Practice)

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 763-1375

MICHAEL E RAZZOOG DDS

Dentist

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 647-4177

HAVVA Z ERTUGRUL DDS

Dentist (General Practice)

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 764-1523

ASHLEY NEMEC DMD

Dentist

1011 N UNIVERSITY AVE, ROOM 2008, SPC 1078
ANN ARBOR, MI 48109

Washtenaw County (734) 615-8606

BRUNO CAVALCANTI DDS

Dentist

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 548-2743

CHU CHUN HSIAO

Dentist (General Practice)

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 764-1523

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 Peter Polverini's NPI number?

The NPI number for Peter Polverini is 1699808857. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Peter Polverini located?

Peter Polverini practices at 1011 N University Ave, Ann Arbor, MI 48109. The listed phone number is (734) 763-6933.

What is Peter Polverini's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Peter Polverini enrolled in Medicare?

Yes. Peter Polverini 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.

When was this NPI record last updated?

The NPPES record for Peter Polverini was last updated on January 29, 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.