1. Home
  2. Directory
  3. Michigan
  4. Plymouth
  5. Dentist
  6. NPI Profile

DR. NICHOLAS JOHN PELACHYK D.D.S.
NPI 1750639159
Dentist - General Practice in Plymouth, MI

Active since August 16, 2012PECOS Enrolled
9321 N HAGGERTY RD, PLYMOUTH, MI 48170(734) 455-4070 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicholas John Pelachyk D.d.s. NPPES

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

DR. NICHOLAS JOHN PELACHYK D.D.S. (NPI 1750639159) is an individual general practice provider in Plymouth, Michigan, licensed in Michigan (2901021792) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750639159
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICHOLAS JOHN PELACHYKCredential: D.D.S.
Location Address9321 N HAGGERTY RDPlymouth, MI 48170-4622
Mailing Address9321 N Haggerty RdPlymouth, MI 48170-4622 · (734) 455-4070
Phone(734) 455-4070
Sole ProprietorNo
Enumeration DateAugust 16, 2012
Last NPPES UpdateDecember 13, 2016
✔ NPI 1750639159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901021792
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9321 N HAGGERTY RD, Plymouth, MI 48170
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas John Pelachyk D.d.s. 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 48170 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 2

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

DR. FRANCIS XAVIER KELLY D.D.S.
Dentist (General Practice)
9321 N HAGGERTY RD
PLYMOUTH, MI 48170
Wayne County (734) 455-4070
JAMES CLIFFORD JOHNSON DDS
Dentist (General Practice)
9321 N HAGGERTY RD
PLYMOUTH, MI 48170
Wayne County (734) 455-4070

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 Nicholas Pelachyk's NPI number?

The NPI number for Nicholas Pelachyk is 1750639159. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Where is Nicholas Pelachyk located?

Nicholas Pelachyk practices at 9321 N Haggerty Rd, Plymouth, MI 48170. The listed phone number is (734) 455-4070.

What is Nicholas Pelachyk's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nicholas Pelachyk enrolled in Medicare?

Yes. Nicholas Pelachyk is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Pelachyk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 12 other insurers list Nicholas Pelachyk 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 Nicholas Pelachyk was last updated on December 13, 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.