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MR. PETER J MISKOVICH DDS
NPI 1780759944
Dentist - General Practice in Grand Rapids, MN

Active since November 22, 2006PECOS Enrolled
1121 SE 4TH AVENUE, GRAND RAPIDS, MN 55744(218) 326-3437(218) 327-1211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Peter J Miskovich Dds NPPES

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

MR. PETER J MISKOVICH DDS (NPI 1780759944) is an individual general practice provider in Grand Rapids, Minnesota, licensed in Minnesota (D11951) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780759944
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. PETER J MISKOVICHCredential: DDS
Location Address1121 SE 4TH AVENUEGrand Rapids, MN 55744
Mailing Address1121 Se 4th AvenueGrand Rapids, MN 55744 · (218) 326-3437 · Fax (218) 327-1211
Phone(218) 326-3437
Fax(218) 327-1211
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780759944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D11951
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.
1121 SE 4TH AVENUE, Grand Rapids, MN 55744
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Other Identifiers 3

OtherD11951MN · State License Number
Other275L7MIMN · Blue Cross And Sh Of Mn
Other1670908United Concordia

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Peter J Miskovich Dds 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 55744 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

MISKOVICH DENTAL CLINIC
Dentist (General Practice)
1121 SE 4TH AVENUE
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3437
MR. MIKE N MISKOVICH DDS
Dentist (General Practice)
1121 SE 4TH AVENUE
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3437

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 Miskovich's NPI number?

The NPI number for Peter Miskovich is 1780759944. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Peter Miskovich located?

Peter Miskovich practices at 1121 SE 4th Avenue, Grand Rapids, MN 55744. The listed phone number is (218) 326-3437.

What is Peter Miskovich's specialty?

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

Is Peter Miskovich enrolled in Medicare?

Yes. Peter Miskovich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Miskovich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.