MICHAEL PUCCINELLI MD - NPI 1124641139

Q: What is Michael Puccinelli's NPI number?

The NPI number for Michael Puccinelli is 1124641139. It was assigned to this individual provider in the NPPES registry on May 26, 2020.

Q: What is Michael Puccinelli's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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About Michael Puccinelli Md NPPES

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

MICHAEL PUCCINELLI MD (NPI 1124641139) is an individual surgery provider in Dothan, Alabama, licensed in Alabama (52146) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dothan, and is a graduate of University Of Alabama School Of Medicine (2020).

NPPES Registry Identity

NPI1124641139

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMICHAEL PUCCINELLICredential: MD

Location Address4300 W MAIN ST STE 21Dothan, AL 36305-1058

Mailing Address4300 W Main St Ste 21Dothan, AL 36305-1058 · (334) 699-7900

Phone(334) 699-7900

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2020

Enumeration DateMay 26, 2020

Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1124641139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in AL · 52146

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4300 W MAIN ST STE 21, Dothan, AL 36305

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Secondary Practice Location 1

Location 14300 W Main St Ste 21Dothan, AL 36305-1058 · Phone (334) 699-7900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Puccinelli Md 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 ID143647735

PECOS Enrollment IDI20251006001529

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 36305 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

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 9

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

CHARLES JACKIE CARPENTER JR. MD

Surgery