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MICHAEL PUCCINELLI MD
NPI 1124641139
Surgery in Dothan, AL

Active since May 26, 2020PECOS EnrolledAccepts Medicare Assignment
4300 W MAIN ST STE 21, DOTHAN, AL 36305(334) 699-7900 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2025, May 29, 2020 (2 updates tracked since 2020).

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 Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee 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

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Puccinelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wiregrass Clinic LLC
1.4 mi
Neurological Surgery
4300 W MAIN ST, SUITE 21
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 100 clinicians in this Medicare group
NPI 1558657890 (334) 794-5000

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

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 10

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

CHARLES JACKIE CARPENTER JR. MD
Surgery
4300 W MAIN ST STE 21
DOTHAN, AL 36305
Houston County (334) 793-9564
MR. JASON LEE COX NP
Nurse Practitioner (Adult Health)
4300 W MAIN ST STE 21
DOTHAN, AL 36305
Houston County (334) 699-7900
MRS. CHEYENNE SHLAM APRN
Nurse Practitioner (Family)
4300 W MAIN ST STE 21
DOTHAN, AL 36305
Houston County (334) 699-7900
DR. ZACHARY JAMES BRYANT MD
Surgery
4300 W MAIN ST STE 21
DOTHAN, AL 36305
Houston County (334) 699-7900
WESLEY W BRYAN MD
Urology
4300 W MAIN ST STE 21
DOTHAN, AL 36305
Houston County (334) 699-7900
DR. FADY S WANNA M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4300 W MAIN ST STE 21
DOTHAN, AL 36305
Houston County (205) 620-7523
IMRAN KHALIL M.D
Internal Medicine (Interventional Cardiology)
4300 W MAIN ST STE 21
DOTHAN, AL 36305
Houston County (334) 699-7900
VICTOR S DREICER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4300 W MAIN ST STE 21
DOTHAN, AL 36305
Houston County (334) 699-7900

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 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.

Where is Michael Puccinelli located?

Michael Puccinelli practices at 4300 W Main St Ste 21, Dothan, AL 36305. The listed phone number is (334) 699-7900.

What is Michael Puccinelli's specialty?

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

Is Michael Puccinelli enrolled in Medicare?

Yes. Michael Puccinelli 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 organization bills Medicare for Michael Puccinelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Puccinelli reassigns Medicare benefits to Wiregrass Clinic LLC (Dothan, AL). The 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 Michael Puccinelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Puccinelli accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer list Michael Puccinelli 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.

When was this NPI record last updated?

The NPPES record for Michael Puccinelli was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.