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DR. MICHAEL DAVID DEGOULD DDS
NPI 1245673441
Dentist - Oral and Maxillofacial Surgery in Rockford, IL

Active since April 08, 2013Opted out of Medicare · through May 18, 2028
2835 MCFARLAND RD, SUITE C, ROCKFORD, IL 61107(815) 654-0039(815) 654-0650 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael David Degould Dds NPPES

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

DR. MICHAEL DAVID DEGOULD DDS (NPI 1245673441) is an individual oral and maxillofacial surgery provider in Rockford, Illinois, licensed in Illinois (019019722) and active in the NPI registry since April 2013. He has opted out of Medicare through May 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245673441
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL DAVID DEGOULDCredential: DDS
Location Address2835 MCFARLAND RD, SUITE CRockford, IL 61107-6819
Mailing Address2835 Mcfarland Rd, Suite CRockford, IL 61107-6819 · (815) 654-0039 · Fax (815) 654-0650
Phone(815) 654-0039
Fax(815) 654-0650
Sole ProprietorYes
Enumeration DateApril 8, 2013
Last NPPES UpdateSeptember 10, 2014
✔ NPI 1245673441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019019722
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2835 MCFARLAND RD, Rockford, IL 61107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael David Degould Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 18, 2016 through May 18, 2028.

Opt-Out Effective DateMay 18, 2016
Opt-Out In Effect ThroughMay 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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 9

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

DR. EDWARD BRUCE NOAKES III DMD, MS
Dentist (Endodontics)
2835 MCFARLAND RD, SUITE B
ROCKFORD, IL 61107
Winnebago County (815) 636-1600
DR. GREGORY J PARSONS DDS
Dentist (Endodontics)
2835 MCFARLAND RD, SUITE B
ROCKFORD, IL 61107
Winnebago County (815) 636-1600
CAMELOT ENDODONTICS LTD
Dentist (Endodontics)
2835 MCFARLAND RD, STE B
ROCKFORD, IL 61107
Winnebago County (815) 636-1600
NEXT LEVEL HEALTH,LLC
Chiropractor (Rehabilitation)
2835 MCFARLAND RD, SUITE D
ROCKFORD, IL 61107
Winnebago County (815) 708-6195
DR. NOEL R. IANNO D.D.S.
Dentist (Endodontics)
2835 MCFARLAND RD, SUITE B
ROCKFORD, IL 61107
Winnebago County (815) 636-1600
ORTHODONTIC SPECIALTIES, P.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
2835 MCFARLAND RD, SUITE A
ROCKFORD, IL 61107
Winnebago County (815) 636-2992
DR. ROBERT F. MCGARRY JR. DDS
Dentist (Endodontics)
2835 MCFARLAND RD, SUITE B
ROCKFORD, IL 61107
Winnebago County (815) 636-1600
DR. GARY W BRANKIN D.D.S., M.S.
Dentist (Endodontics)
2835 MCFARLAND RD, SUITE B
ROCKFORD, IL 61107
Winnebago County (815) 636-1600

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 Degould's NPI number?

The NPI number for Michael Degould is 1245673441. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Michael Degould located?

Michael Degould practices at 2835 Mcfarland Rd Suite C, Rockford, IL 61107. The listed phone number is (815) 654-0039.

What is Michael Degould's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Degould enrolled in Medicare?

No. Michael Degould has opted out of Medicare through May 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Degould was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.