DR. MICHAEL THOMAS WILCKO D.M.D.
NPI 1962688275
Dentist - Periodontics in North East, PA

Active since January 16, 2008PECOS Enrolled
90 E MAIN ST, NORTH EAST, PA 16428(814) 725-4700 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Thomas Wilcko D.m.d. NPPES

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

DR. MICHAEL THOMAS WILCKO D.M.D. (NPI 1962688275) is an individual periodontics provider in North East, Pennsylvania, licensed in Pennsylvania (DS018955L) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962688275
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MICHAEL THOMAS WILCKOCredential: D.M.D.
Location Address90 E MAIN STNorth East, PA 16428-1319
Mailing Address90 E Main StNorth East, PA 16428-1319 · (814) 725-4700
Sole ProprietorYes
Enumeration DateJanuary 16, 2008
Last NPPES UpdateFebruary 7, 2025
NPPES CertifiedFebruary 7, 2025
NPI 1962688275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in PA · DS018955L
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.

90 E MAIN ST, North East, PA 16428

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. Michael Thomas Wilcko D.m.d. 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 16428 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 6

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

Podiatrist
90 E MAIN ST, SUITE 3
NORTH EAST, PA 16428
Physical Therapist
90 E MAIN ST
NORTH EAST, PA 16428
Podiatrist (Foot Surgery)
90 E MAIN ST, SUITE 3
NORTH EAST, PA 16428
Dentist (General Practice)
90 E MAIN ST
NORTH EAST, PA 16428
Dentist (General Practice)
90 E MAIN ST
NORTH EAST, PA 16428
Dentist (General Practice)
90 E MAIN ST
NORTH EAST, PA 16428

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 Michael Wilcko's NPI number?

The NPI number for Michael Wilcko is 1962688275. It was assigned to this individual provider in the NPPES registry on January 16, 2008.

Where is Michael Wilcko located?

Michael Wilcko practices at 90 E Main St, North East, PA 16428. The listed phone number is (814) 725-4700.

What is Michael Wilcko's specialty?

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

Is Michael Wilcko enrolled in Medicare?

Yes. Michael Wilcko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Wilcko was last updated on February 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.