DR. PETER WALTER LAZARCHUK D.D.S.
NPI 1932310844
Dentist in Novi, MI

Active since May 24, 2007Opted out of Medicare · through Oct 15, 2027
42450 W 12 MILE RD, SUITE 200, NOVI, MI 48377(248) 348-8808 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. Peter Walter Lazarchuk D.d.s. NPPES

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

DR. PETER WALTER LAZARCHUK D.D.S. (NPI 1932310844) is an individual dentist in Novi, Michigan, licensed in Michigan (2901013169) and active in the NPI registry since May 2007. He has opted out of Medicare through October 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932310844
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PETER WALTER LAZARCHUKCredential: D.D.S.
Location Address42450 W 12 MILE RD, SUITE 200Novi, MI 48377-3013
Mailing Address333 W Lincoln StBirmingham, MI 48009-1900 · (224) 820-3228
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1932310844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 2901013169
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
42450 W 12 MILE RD, Novi, MI 48377

Accepted Insurance

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. Peter Walter Lazarchuk 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 October 15, 2015 through October 15, 2027.

Opt-Out Effective DateOctober 15, 2015
Opt-Out In Effect ThroughOctober 15, 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 48377 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 7

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

Psychiatry & Neurology (Psychiatry)
42450 W 12 MILE RD, 315
NOVI, MI 48377
Dentist (General Practice)
42450 W 12 MILE RD, SUITE 200
NOVI, MI 48377
Social Worker (Clinical)
42450 W 12 MILE RD, SUITE #315
NOVI, MI 48377
Psychiatry & Neurology (Psychiatry)
42450 W 12 MILE RD, STE 315
NOVI, MI 48377
Psychiatry & Neurology (Psychiatry)
42450 W 12 MILE RD, SUITE 315
NOVI, MI 48377
Dentist (Orthodontics and Dentofacial Orthopedics)
42450 W 12 MILE RD
NOVI, MI 48377
Specialist
42450 W 12 MILE RD
NOVI, MI 48377

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 Lazarchuk's NPI number?

The NPI number for Peter Lazarchuk is 1932310844. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Peter Lazarchuk located?

Peter Lazarchuk practices at 42450 W 12 Mile Rd Suite 200, Novi, MI 48377. The listed phone number is (248) 348-8808.

What is Peter Lazarchuk's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Peter Lazarchuk enrolled in Medicare?

No. Peter Lazarchuk has opted out of Medicare through October 15, 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.

What insurance does Peter Lazarchuk accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Peter Lazarchuk 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 Peter Lazarchuk 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.