DR. MIKELLE LOUELLA KERNIG (BM, DDS, MS) – Oral and Maxillofacial Pathology Dentistry, NPI 1114004579
Oral and Maxillofacial Pathology Dentistry
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
61 DENTIST in OH
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Provider Addresses for DR. MIKELLE LOUELLA KERNIG (BM, DDS, MS)
Wright-Patterson Medical Center, 4881, Sugar Maple Drive, Buckeye Trailer Court, Greene County, Ohio, 45433, United States
88 DTS/SGD
WRIGHT PATTERSON AFB, OH 454335546
Phone: (937) 257-9361
Type: Location
PO BOX 3405
SPOKANE, WA 992203405
Phone: (509) 892-2700
Fax: (509) 892-2740
Type: Mailing
13103 E MANSFIELD AVENUE
SPOKANE VALLEY, WA 992161642
Phone: (509) 892-2700
Fax: (509) 892-2740
Type: Location
2255, Bandit Trail, Beavercreek Township, Greene County, Ohio, 45434, United States
BEAVERCREEK, OH 454345678
Phone: (937) 474-3731
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190717000606 | I | Pathology | WA | TBD |
| I20230707000674 | I | Maxillofacial Surgery | ID | TBD |
| I20260304004053 | I | Dentist | MT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 73 | 70 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 30 | 30 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 26 | 26 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 18 | 11 | $0 |
Insurance plans in this area (ZIP 45433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| P A T H O L O G Y | NY | |
| - | SC | |
| - | WA | |
| P A T H O L O G Y | MT | |
| P A T H O L O G Y | FL | |
| P A T H O L O G Y | HI | |
| P A T H O L O G Y | NV | |
| P A T H O L O G Y | WA | |
| P A T H O L O G Y | WA |
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