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MICHAEL A AGOSTINO MD
NPI 1164458352
Otolaryngology in Noblesville, IN

Active since June 23, 2006PECOS Enrolled
18051 RIVER ROAD, SUITE 104, NOBLESVILLE, IN 46062(317) 844-7059(317) 819-0044 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2024, Mar 7, 2023, Jun 18, 2021 (3 updates tracked since 2021).

About Michael A Agostino Md NPPES

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

MICHAEL A AGOSTINO MD (NPI 1164458352) is an individual otolaryngology provider in Noblesville, Indiana, licensed in Indiana (01038563) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164458352
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMICHAEL A AGOSTINOCredential: MD
Location Address18051 RIVER ROAD, SUITE 104Noblesville, IN 46062-7093
Mailing Address10201 N Illinois St Ste 110Carmel, IN 46290-1172 · (317) 844-7059 · Fax (317) 819-0044
Phone(317) 844-7059
Fax(317) 819-0044
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
✔ NPI 1164458352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IN · 01038563
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
18051 RIVER ROAD, Noblesville, IN 46062
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Other Identifiers 3

Medicaid100361740AIN
Other000000085510IN · Anthem Pin
Other01038563IN · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael A Agostino Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Agostino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Physicians Of Indiana Inc
11 mi
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
NPI 1619105244 (317) 355-5555
Otolaryngology Associates, LLC
11 mi
Otolaryngology
9002 NORTH MERIDIAN STREET, SUITE 222
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 63 clinicians in this Medicare group
NPI 1447398839 (317) 573-4370

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 6

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.

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.
151 services102 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
29 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services23 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
17 services15 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46062 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

AMERICAN HEALTH NETWORK OF INDIANA, LLC
Internal Medicine (Hematology & Oncology)
18051 RIVER ROAD, SUITE 201
NOBLESVILLE, IN 46062
Hamilton County (317) 776-7084

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 Agostino's NPI number?

The NPI number for Michael Agostino is 1164458352. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Michael Agostino located?

Michael Agostino practices at 18051 River Road Suite 104, Noblesville, IN 46062. The listed phone number is (317) 844-7059.

What is Michael Agostino's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Michael Agostino enrolled in Medicare?

Yes. Michael Agostino is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Agostino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Agostino reassigns Medicare benefits to 2 organizations: Community Physicians Of Indiana Inc (Indianapolis, IN) and Otolaryngology Associates, LLC (Indianapolis, IN). 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 Michael Agostino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Agostino accept?

Health plans from Cigna Healthcare list Michael Agostino 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 Agostino was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.