MICHAEL DOPKO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083684054

MICHAEL DOPKO (CRNA) is a healthcare provider. based in Wilkes barre, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 048962 (PA). The NPI Number for MICHAEL DOPKO (CRNA) is 1083684054

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL DOPKO (CRNA)
NPI
1083684054
Phone
(570) 826-3334
Address
25 CHURCH ST
Enumeration Date
24 January 2006
Last Update Date
5 March 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5708089800
Graduation Year
1997 (29 years ago)
PAC ID
3577545920
Group Practice PAC ID
5395657001
Professional Enrollment ID
I20040601001156
Address ID
PA186403798PI1201XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

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Provider Addresses for MICHAEL DOPKO (CRNA)

  • Geisinger South Wilkes-Barre, 25, Church Street, Goose Island, Wilkes-Barre, Luzerne County, Pennsylvania, 18765, United States

    WILKES BARRE, PA 187023507

    Phone: (570) 826-3334

    Fax: (570) 830-8887

    Mailing address matches the actual address.

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: 2004-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040601001156ICertified Registered Nurse Anesthetist (Crna)PATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395657001View full group profile

Reviews

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Frequently asked questions

What is the registry number for MICHAEL DOPKO (CRNA)?
The registry entry for MICHAEL DOPKO (CRNA) shows NPI 1083684054.
Quick check: is MICHAEL DOPKO (CRNA) active?
Public NPPES data shows MICHAEL DOPKO (CRNA) with an active NPI status right now.
What type of care does MICHAEL DOPKO (CRNA) provide?
MICHAEL DOPKO (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHAEL DOPKO (CRNA)?
MICHAEL DOPKO (CRNA) is associated with Wilkes Barre, Pennsylvania in the same public data insurers reference.
Why is information missing for MICHAEL DOPKO (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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