MID MICHIGAN ORAL SURGERY
NPI 1861650095
Dentist - Oral and Maxillofacial Surgery in Charlotte, MI

Active since May 23, 2008
110 N COCHRAN AVE, CHARLOTTE, MI 48813(517) 337-9759(517) 337-8156 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mid Michigan Oral Surgery NPPES

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

MID MICHIGAN ORAL SURGERY (NPI 1861650095) is a healthcare organization registered as an oral and maxillofacial surgery in Charlotte, Michigan and active in the NPI registry since May 2008. The organization lists Mark E Beckman, Oral Surgeon / Owner, as its authorized official.

NPPES Registry Identity

NPI1861650095
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMID MICHIGAN ORAL SURGERY
Location Address110 N COCHRAN AVECharlotte, MI 48813-1508
Mailing Address110 N Cochran AveCharlotte, MI 48813-1508 · (517) 337-9759 · Fax (517) 337-8156
Fax(517) 337-8156
Organization SubpartNo
Authorized OfficialMark E BeckmanOral Surgeon / Owner · (517) 337-9759
Enumeration DateMay 23, 2008
Last NPPES UpdateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1861650095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
110 N COCHRAN AVE, Charlotte, MI 48813

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid Michigan Oral Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20040805000351Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mid Michigan Oral Surgery, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Maxillofacial Surgery
NPI 1932198835
325 W LAKE LANSING RD
East Lansing, MI 48823
(517) 337-9759
✔ PECOS✔ Accepts Medicare22 mi
Maxillofacial Surgery
NPI 1326032988
325 W LAKE LANSING RD
East Lansing, MI 48823
(517) 337-9759
22 mi
Oral Surgery
NPI 1083901425
325 W LAKE LANSING RD
East Lansing, MI 48823
(517) 337-9759
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mid Michigan Oral Surgery's NPI number?

The NPI number for Mid Michigan Oral Surgery is 1861650095. It was assigned to this organization in the NPPES registry on May 23, 2008.

Where is Mid Michigan Oral Surgery located?

Mid Michigan Oral Surgery is located at 110 N Cochran Ave, Charlotte, MI 48813. The listed phone number is (517) 337-9759.

What is Mid Michigan Oral Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Mid Michigan Oral Surgery enrolled in Medicare?

Yes. Mid Michigan Oral Surgery is registered in the Medicare PECOS enrollment system.

When is Mid Michigan Oral Surgery's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mid Michigan Oral Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mid Michigan Oral Surgery, in Maxillofacial Surgery and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mid Michigan Oral Surgery accept?

Health plans from Blue Care Network of Michigan list Mid Michigan Oral Surgery 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 Mid Michigan Oral Surgery was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.