DR. KEVIN DONALD PRUSH DDS
NPI 1982668372
Dentist - General Practice in Saint Clair Shores, MI

Q: What is Kevin Prush's NPI number?

The NPI number for Kevin Prush is 1982668372. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Kevin Prush's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Prush was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 13, 2006PECOS Enrolled

30231 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48082(586) 775-2400(586) 775-2406 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kevin Donald Prush Dds NPPES

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

DR. KEVIN DONALD PRUSH DDS (NPI 1982668372) is an individual general practice provider in Saint Clair Shores, Michigan, licensed in Michigan (015251) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982668372

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEVIN DONALD PRUSHCredential: DDS

Location Address30231 JEFFERSON AVESaint Clair Shores, MI 48082-1787

Mailing Address30231 Jefferson AveSaint Clair Shores, MI 48082-1787 · (586) 775-2400 · Fax (586) 775-2406

Phone(586) 775-2400

Fax(586) 775-2406

Sole ProprietorNo

Enumeration DateApril 13, 2006

Last NPPES UpdateAugust 25, 2022

NPPES CertifiedAugust 25, 2022

✔ NPI 1982668372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 015251

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.

30231 JEFFERSON AVE, Saint Clair Shores, MI 48082

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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. Kevin Donald Prush Dds 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 48082 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 2

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

DR. DAVID MAURICE SORBO D.D.S.

Dentist (General Practice)

30231 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48082

Macomb County (586) 294-0350

DIVERSIFIED DENTAL, P.C.

Clinic/Center (Dental)

30231 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48082

Macomb County (586) 775-2400

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 Kevin Prush's NPI number?

The NPI number for Kevin Prush is 1982668372. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Kevin Prush located?

Kevin Prush practices at 30231 Jefferson Ave, Saint Clair Shores, MI 48082. The listed phone number is (586) 775-2400.

What is Kevin Prush's specialty?

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

Is Kevin Prush enrolled in Medicare?

Yes. Kevin Prush is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Prush accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Kevin Prush 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 Kevin Prush was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.