MR. MICHAEL M DUTKEVICZ PA-C
NPI 1902803331
Physician Assistant in Bridgeport, WV

Q: What is Michael Dutkevicz's NPI number?

The NPI number for Michael Dutkevicz is 1902803331. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Q: What is Michael Dutkevicz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Dutkevicz was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 30, 2005PECOS Enrolled

135 PROFESSIONAL PL, BRIDGEPORT, WV 26330(681) 342-3680(681) 342-3665 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Michael M Dutkevicz Pa-c NPPES

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

MR. MICHAEL M DUTKEVICZ PA-C (NPI 1902803331) is an individual physician assistant in Bridgeport, West Virginia, licensed in West Virginia (1809) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902803331

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. MICHAEL M DUTKEVICZCredential: PA-C

Location Address135 PROFESSIONAL PLBridgeport, WV 26330-4509

Mailing Address135 Professional PlBridgeport, WV 26330-4509 · (681) 342-3680 · Fax (681) 342-3665

Phone(681) 342-3680

Fax(681) 342-3665

Sole ProprietorNo

Enumeration DateJune 30, 2005

Last NPPES UpdateMay 20, 2015

✔ NPI 1902803331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WV · 1809

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

135 PROFESSIONAL PL, Bridgeport, WV 26330

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Other Identifiers 4

Medicare PIN76611OH

Medicare UPIN43734OH

Medicaid0070754OH

Medicare PIN970023661OH

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. Michael M Dutkevicz Pa-c 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 26330 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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 9

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

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