Doctor profile · Federal record

Dr. Peter Polverini, DDS, DMSC

Oral and Maxillofacial Pathology Dentist (CMS: Maxillofacial Surgery) · Dentist · Anatomic Pathology & Clinical Pathology Physician · Ann Arbor, MI

  • NPI 1699808857
  • Accepts Medicare
  • 53 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1011 N University Ave
Ann Arbor, MI 481091078
(734) 763-6933
fax (734) 763-5142
Mailing address
5700 Southwyck Blvd
Toledo, OH 436141509

Credentials & registration

NPPES · NUCC
NPI registered
March 2007 — 19 yrs on file
Profile last updated
January 29, 2020
Year of graduation
1973 — 53 yrs since
Specialty taxonomy
1223P0106X — NUCC code
State license (1)
Michigan #2901016040
Medicaid (4)
MI #4504373 · MI #4070694 · OH #2667583 · MI #4874042

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1699808857. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
65
Distinct HCPCS
1
Medicare allowed
$4,607
HCPCS Description Services Patients Avg allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity 65 63 $71

In context: peer comparison

Among 2 peers in Ann Arbor Oral and Maxillofacial Pathology Dentist, average services per provider: 120. This provider delivers 0.5× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Peter Polverini's medical specialty?
Dr. Peter Polverini practices Oral and Maxillofacial Pathology Dentist in Ann Arbor, MI.
Where does Dr. Peter Polverini practice?
Dr. Peter Polverini practices at 1011 N University Ave, Ann Arbor, MI 481091078. Office phone: 7347636933.
What is Dr. Peter Polverini's NPI?
Dr. Peter Polverini's National Provider Identifier (NPI) is 1699808857, issued by NPPES.
Does Dr. Peter Polverini accept Medicare assignment?
Yes. Dr. Peter Polverini accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Peter Polverini commonly perform?
Top Medicare-reported procedures in 2023: Pathology examination of tissue using a microscope, intermediate complexity (HCPCS 88305). Source: CMS Medicare Physician & Other Practitioners file.