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DR. MICHAEL DIETER PELLEGRINON
NPI 1174674931
Dentist - General Practice in Norcross, GA

Active since January 16, 2007PECOS Enrolled
6060 MCDONOUGH DRIVE, SUITE I, NORCROSS, GA 30093(770) 448-3030(770) 447-4906 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael Dieter Pellegrinon NPPES

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

DR. MICHAEL DIETER PELLEGRINON (NPI 1174674931) is an individual general practice provider in Norcross, Georgia, licensed in Georgia (DN10733) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174674931
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL DIETER PELLEGRINON
Location Address6060 MCDONOUGH DRIVE, SUITE INorcross, GA 30093
Mailing Address1650 Oak Brook Drive, Suite 440Norcross, GA 30093 · (770) 446-8000 · Fax (770) 446-8000
Phone(770) 448-3030
Fax(770) 447-4906
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174674931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN10733
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6060 MCDONOUGH DRIVE, Norcross, GA 30093
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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. Michael Dieter Pellegrinon 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 30093 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

DR. LAUREN ELIZABETH ABES DMD
Dentist (General Practice)
6060 MCDONOUGH DRIVE, SUITE I
NORCROSS, GA 30093
Gwinnett County (770) 448-3030

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 Pellegrinon's NPI number?

The NPI number for Michael Pellegrinon is 1174674931. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Michael Pellegrinon located?

Michael Pellegrinon practices at 6060 Mcdonough Drive Suite I, Norcross, GA 30093. The listed phone number is (770) 448-3030.

What is Michael Pellegrinon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Pellegrinon enrolled in Medicare?

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

What insurance does Michael Pellegrinon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Michael Pellegrinon 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 Pellegrinon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.