PETER J POLVERINI DDS, DMSC
NPI 1699808857
Dentist - Oral and Maxillofacial Pathology in Ann Arbor, MI
NPI Status: Active since March 14, 2007
Contact Information
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
Phone: (734) 763-6933
Fax: (734) 763-5142
- Individual
- Male
- Years of Experience 53
- Dentist
- Oral and Maxillofacial Pathology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About PETER POLVERINI
This page provides the complete NPI Profile along with additional information for Peter Polverini, a provider established in Ann Arbor, Michigan with a medical specialization in Dentist, focusing in oral and maxillofacial pathology and more than 53 years of experience. The healthcare provider is registered in the NPI registry with number 1699808857 assigned on March 2007. The practitioner's primary taxonomy code is 1223P0106X with license number 2901016040 (MI). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1699808857
- Provider Name
- PETER J POLVERINI DDS, DMSC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1011 N UNIVERSITY AVE ANN ARBOR, MI 48109
- Location Phone
- (734) 763-6933
- Location Fax
- (734) 763-5142
- Mailing Address
- 5700 SOUTHWYCK BLVD TOLEDO, OH 43614
- Mailing Phone
- (800) 288-8325
- Mailing Fax
- (734) 763-5142
- Medical School Name
- OTHER
- Graduation Year
- 1973
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-14-2007
- Last Update Date
- 01-29-2020
- Code Navigator
A dentist like Peter Polverini is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Pathology
- Taxonomy Code
- 1223P0106X
- Type
- Dental Providers
- License No.
- 2901016040
- License State
- MI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 122300000X | Dental Providers | Dentist | 2901016040 (MI) |
2 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | 2901016040 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
195816845 | OTHER (01) | MI | BCBS OF MI MED SURGICAL |
2667583 | MEDICAID (05) | OH | |
4070694 | MEDICAID (05) | MI | |
4874042 | MEDICAID (05) | MI | |
D160400 | OTHER (01) | MI | BCBS OF MI DENTAL |
4504373 | MEDICAID (05) | MI |
Medicare Participation & PECOS Enrollment Status
Peter Polverini is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Peter Polverini is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9436112802
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20041105001051
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Pathology examination of tissue using a microscope, intermediate complexity
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.
This service was performed 76 times for 62 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.69 for a new patient copayment and $18.09 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48109 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 9 | 9 | 8 | 0 | 8 | 8 | 5 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 18 | 9 | 16 | 0 | 16 | 8 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 8 + 9 + 1 + 6 + 0 + 1 + 6 + 8 + 1 + 0 + 24 = 73 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 73 = 7 | 7 |
The NPI number 1699808857 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. THOMAS S MARSHALL DDS, MS
Dentist
(Prosthodontics)
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
DR. DAVID I. TINDLE DDS
Dentist
1011 N UNIVERSITY AVE
DEPT PERIODONTICS AND ORAL MEDICINE
ANN ARBOR, MI
ZIP 48109
DR. KELLY ANN MISCH-LINDMAN D.D.S.
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
DR. RYAN BRANDT D.D.S.
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES
Dentist
(General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
DR. MARY ELLEN MCLEAN D.D.S.
Dentist
(General Practice)
1011 N UNIVERSITY AVE
UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY
ANN ARBOR, MI
ZIP 48109
DR. DENNIS JOHN FASBINDER D.D.S.
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
PATRICIA A BAUER DDS
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
AIRTON O ARRUDA DDS
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
SUNIL D KAPILA DDS MS PHD
Dentist
(Orthodontics and Dentofacial Orthopedics)
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
SHARON L BROOKS DDS MS
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
STEPHEN J STEFANAC DDS
Dentist
(General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
VERNON E RIFE DDS
Dentist
(General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
JAN C HU DDS
Dentist
(Pediatric Dentistry)
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
LAURIE K MCCAULEY DMD PHD
Dentist
(Periodontics)
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
NEVILLE J MCDONALD DDS
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
DR. LUCIA CEVIDANES DDS, MS, PHD
Dentist
(Orthodontics and Dentofacial Orthopedics)
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
RENEE E DUFF DDS
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
RICHARD SCOTT CONLEY DMD
Dentist
(Orthodontics and Dentofacial Orthopedics)
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
PAUL H KREBSBACH DDS PHD
Dentist
(Prosthodontics)
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699808857, enumerated as an "individual" on March 14, 2007.
The provider is located at 1011 N UNIVERSITY AVE ANN ARBOR, MI 48109 and the phone number is (734) 763-6933.
Dentist with taxonomy code 1223P0106X and a focus in Oral and Maxillofacial Pathology.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.