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DR. MICHELE DEBRA STARK DMD
NPI 1942429048
Dentist - General Practice in Worden, IL

Active since April 25, 2007PECOS Enrolled
224 E WALL ST, WORDEN, IL 62097(618) 459-3626(618) 459-7507 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michele Debra Stark Dmd NPPES

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

DR. MICHELE DEBRA STARK DMD (NPI 1942429048) is an individual general practice provider in Worden, Illinois and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942429048
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHELE DEBRA STARKCredential: DMD
Location Address224 E WALL STWorden, IL 62097-1306
Mailing Address224 E Wall StWorden, IL 62097-1306 · (618) 459-3626 · Fax (618) 459-7507
Phone(618) 459-3626
Fax(618) 459-7507
Sole ProprietorYes
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942429048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

224 E WALL ST, Worden, IL 62097
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Other Identifiers 1

Medicaid1003853IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michele Debra Stark Dmd 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 62097 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

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 Michele Stark's NPI number?

The NPI number for Michele Stark is 1942429048. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Michele Stark located?

Michele Stark practices at 224 E Wall St, Worden, IL 62097. The listed phone number is (618) 459-3626.

What is Michele Stark's specialty?

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

Is Michele Stark enrolled in Medicare?

Yes. Michele Stark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michele Stark was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.