TOMMY JOHN CASTILLO SAGADRACA D.M.D
NPI 1215387113
Dentist - General Practice in Machesney Park, IL

Active since June 21, 2016PECOS Enrolled
1564 W LANE RD, MACHESNEY PARK, IL 61115(779) 771-6763 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tommy John Castillo Sagadraca D.m.d NPPES

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

TOMMY JOHN CASTILLO SAGADRACA D.M.D (NPI 1215387113) is an individual general practice provider in Machesney Park, Illinois, licensed in Illinois (019.030727) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215387113
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTOMMY JOHN CASTILLO SAGADRACACredential: D.M.D
Location Address1564 W LANE RDMachesney Park, IL 61115-1903
Mailing Address211 English Oak LnStreamwood, IL 60107-3392 · (630) 664-9298
Sole ProprietorYes
Enumeration DateJune 21, 2016
NPI 1215387113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019.030727
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.

1564 W LANE RD, Machesney Park, IL 61115

Accepted 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)

Tommy John Castillo Sagadraca D.m.d 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 61115 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 2

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

Dentist (General Practice)
1564 W LANE RD
MACHESNEY PARK, IL 61115
Dentist (General Practice)
1564 W LANE RD
MACHESNEY PARK, IL 61115

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 Tommy John Sagadraca's NPI number?

The NPI number for Tommy John Sagadraca is 1215387113. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Tommy John Sagadraca located?

Tommy John Sagadraca practices at 1564 W Lane Rd, Machesney Park, IL 61115. The listed phone number is (779) 771-6763.

What is Tommy John Sagadraca's specialty?

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

Is Tommy John Sagadraca enrolled in Medicare?

Yes. Tommy John Sagadraca is registered in the Medicare PECOS enrollment system.

What insurance does Tommy John Sagadraca accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 10 other insurers list Tommy John Sagadraca 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 Tommy John Sagadraca was last updated on June 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.