DR. AUSTIN LUCAS CACCIAGLIA DDS
NPI 1043982739
Dentist - Oral and Maxillofacial Surgery in Maywood, IL

Q: What is Austin Cacciaglia's NPI number?

The NPI number for Austin Cacciaglia is 1043982739. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Q: What is Austin Cacciaglia's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Austin Cacciaglia was last updated on May 24, 2023. 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 September 30, 2021PECOS Enrolled

2160 S 1ST AVE, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2023, Oct 6, 2021, Sep 30, 2021 (3 updates tracked since 2021).

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About Dr. Austin Lucas Cacciaglia Dds NPPES

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

DR. AUSTIN LUCAS CACCIAGLIA DDS (NPI 1043982739) is an individual oral and maxillofacial surgery provider in Maywood, Illinois, licensed in Illinois (019032889) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Okinawa.

NPPES Registry Identity

NPI1043982739

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. AUSTIN LUCAS CACCIAGLIACredential: DDS

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2274 Winter Ridge DrTraverse City, MI 49686-8244

Phone(888) 584-7888

Sole ProprietorNo

Enumeration DateSeptember 30, 2021

Last NPPES UpdateMay 24, 20233 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1043982739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in IL · 019032889

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2160 S 1ST AVE, Maywood, IL 60153

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Secondary Practice Location 1

Location 13D Dental Battalion, 3D MLG, Unit 38450 FPO APOkinawa, Okinawa 96373 · Phone (231) 632-1571

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. Austin Lucas Cacciaglia 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 60153 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 20

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

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