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DR. ANTHONY CHARLES MICHELICH D.D.S.
NPI 1801968839
Dentist - Periodontics in Rochester, MN

Active since November 14, 2006Opted out of Medicare · through Feb 16, 2027
2112 VIKING DR NW, ROCHESTER, MN 55901(507) 288-1338 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anthony Charles Michelich D.d.s. NPPES

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

DR. ANTHONY CHARLES MICHELICH D.D.S. (NPI 1801968839) is an individual periodontics provider in Rochester, Minnesota, licensed in Minnesota (07829) and active in the NPI registry since November 2006. He has opted out of Medicare through February 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801968839
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ANTHONY CHARLES MICHELICHCredential: D.D.S.
Location Address2112 VIKING DR NWRochester, MN 55901-3522
Mailing Address1408 Wilshire Woods Ln NeRochester, MN 55906-6917 · (507) 281-8199
Phone(507) 288-1338
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801968839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MN · 07829
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2112 VIKING DR NW, Rochester, MN 55901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Anthony Charles Michelich D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 16, 2009 through February 16, 2027.

Opt-Out Effective DateFebruary 16, 2009
Opt-Out In Effect ThroughFebruary 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55901 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 15

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

HONOR DENTAL PLLC
Clinic/Center (Dental)
2112 VIKING DR NW
ROCHESTER, MN 55901
Olmsted County (507) 288-1101
ARTEM SHURDUK DDS, MS
Dentist (Periodontics)
2112 VIKING DR NW
ROCHESTER, MN 55901
Olmsted County (507) 208-9124
DAVID J. HAGSTROM LLC
Dentist (General Practice)
2112 VIKING DR NW
ROCHESTER, MN 55901
Olmsted County (507) 288-1744
ZUMBRO FAMILY DENTAL
Dentist
2112 VIKING DR NW, SUITE G
ROCHESTER, MN 55901
Olmsted County (507) 288-1066
DR. SEONG WOO LEE D.M.D., M.S.
Dentist (Periodontics)
2112 VIKING DR NW
ROCHESTER, MN 55901
Olmsted County (507) 208-9124
DR. TERRY KLAMPE, INC.
Dentist (General Practice)
2112 VIKING DR NW, DR. TERRY KLAMPE, INC
ROCHESTER, MN 55901
Olmsted County (507) 288-1633
MARKO KAMEL DDS PA
Health Maintenance Organization
2112 VIKING DR NW, SUITE E
ROCHESTER, MN 55901
Olmsted County (507) 206-6780
DR. DAVID JEROME HAGSTROM DDS
Dentist (General Practice)
2112 VIKING DR NW
ROCHESTER, MN 55901
Olmsted County (507) 288-1744

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 Michelich's NPI number?

The NPI number for Anthony Michelich is 1801968839. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Anthony Michelich located?

Anthony Michelich practices at 2112 Viking Dr NW, Rochester, MN 55901. The listed phone number is (507) 288-1338.

What is Anthony Michelich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Anthony Michelich enrolled in Medicare?

No. Anthony Michelich has opted out of Medicare through February 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Anthony Michelich 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.