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ANDREW M AGOSTA M.D.
NPI 1093742439
Obstetrics & Gynecology in Shelby Township, MI

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
51221 SCHOENHERR, SUITE 201, SHELBY TOWNSHIP, MI 48315(586) 254-3545(586) 254-3136 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrew M Agosta M.d. NPPES

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

ANDREW M AGOSTA M.D. (NPI 1093742439) is an individual obstetrics & gynecology provider in Shelby Township, Michigan, licensed in Michigan (049469) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Macomb, and is a graduate of Wayne State University School Of Medicine (1984).

NPPES Registry Identity

NPI1093742439
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameANDREW M AGOSTACredential: M.D.
Location Address51221 SCHOENHERR, SUITE 201Shelby Township, MI 48315
Mailing Address51221 Schoenherr, Suite 201Shelby Township, MI 48315 · (586) 254-3545 · Fax (586) 254-3136
Phone(586) 254-3545
Fax(586) 254-3136
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1984
Enumeration DateJune 28, 2006
Last NPPES UpdateSeptember 18, 2014
✔ NPI 1093742439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 049469
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedUrologyTaxonomy 208800000X · License 046469 (MI)
51221 SCHOENHERR, SUITE 201, Shelby Township, MI 48315
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIND74258MI
Medicaid2931963MI
Medicare ID-Type Unspecified0E06281009MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew M Agosta M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315044690
PECOS Enrollment IDI20070522000080
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrew Agosta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mclaren Macomb
7.7 mi
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
Mount Clemens, MI 48043
  • Reassigned Medicare billing, Michigan enrollment
  • 188 clinicians in this Medicare group
NPI 1528002532 (586) 493-8747
Michigan Healthcare Professionals, P.C.
13 mi
Urgent Care
27650 DEQUINDRE RD STE 1200
Warren, MI 48092
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Michigan Healthcare Professionals PC
  • 741 clinicians in this Medicare group
NPI 1568285872 (248) 544-9050
Mclaren Medical Group
31 mi
Diagnostic Radiology
1254 N MAIN ST
Lapeer, MI 48446
  • Reassigned Medicare billing, Michigan enrollment
  • 416 clinicians in this Medicare group
NPI 1073650750 (810) 664-4531

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
28 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services19 patients
Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729
This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.
23 services22 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48315 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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

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

TIMOTHY S KIM M.D.
Obstetrics & Gynecology
51221 SCHOENHERR, SUITE 201
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 254-3545

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 Andrew Agosta's NPI number?

The NPI number for Andrew Agosta is 1093742439. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Andrew Agosta located?

Andrew Agosta practices at 51221 Schoenherr, Suite 201, Shelby Township, MI 48315. The listed phone number is (586) 254-3545.

What is Andrew Agosta's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andrew Agosta enrolled in Medicare?

Yes. Andrew Agosta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrew Agosta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Agosta reassigns Medicare benefits to 3 organizations: Mclaren Macomb (Mount Clemens, MI), Michigan Healthcare Professionals, P.C. (Warren, MI) and Mclaren Medical Group (Lapeer, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Agosta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Agosta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Andrew Agosta 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.

Is Andrew Agosta affiliated with any hospitals?

According to CMS data, Andrew Agosta is affiliated with Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Andrew Agosta was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.