MR. JOHN MICHAEL GAGNON LMSW, CAC II
NPI 1295715480
Social Worker - Clinical in Escanaba, MI

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
610 S LINCOLN RD, ESCANABA, MI 49829(906) 786-6488(906) 786-6409 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. John Michael Gagnon Lmsw, Cac Ii NPPES

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

MR. JOHN MICHAEL GAGNON LMSW, CAC II (NPI 1295715480) is an individual clinical provider in Escanaba, Michigan, licensed in Michigan (6801057230) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1295715480
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JOHN MICHAEL GAGNONCredential: LMSW, CAC II
Location Address610 S LINCOLN RDEscanaba, MI 49829-1215
Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7222 · Fax (920) 445-7289
Fax(906) 786-6409
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJanuary 23, 2006
Last NPPES UpdateNovember 23, 2020
NPPES CertifiedNovember 23, 2020
✔ NPI 1295715480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801057230
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
610 S LINCOLN RD, Escanaba, MI 49829

Accepted 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

Mr. John Michael Gagnon Lmsw, Cac Ii 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 ID9537225107
PECOS Enrollment IDI20090305000540
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 John Gagnon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
610 S LINCOLN RD
Escanaba, MI 49829
  • Reassigned Medicare billing, Michigan enrollment
  • 167 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
610 S LINCOLN RD
Escanaba, MI 49829
  • Reassigned Medicare billing, Michigan enrollment
  • 24 clinicians in this Medicare group

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 3

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
93 services18 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
69 services20 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
19 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49829 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
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

Family Medicine
610 S LINCOLN RD
ESCANABA, MI 49829
Dietitian, Registered
610 S LINCOLN RD
ESCANABA, MI 49829
Nurse Practitioner (Family)
610 S LINCOLN RD
ESCANABA, MI 49829
Physician Assistant
610 S LINCOLN RD
ESCANABA, MI 49829
Clinic/Center (Rural Health)
610 S LINCOLN RD
ESCANABA, MI 49829
Family Medicine
610 S LINCOLN RD
ESCANABA, MI 49829
Physical Therapist
610 S LINCOLN RD
ESCANABA, MI 49829
Family Medicine
610 S LINCOLN RD
ESCANABA, MI 49829

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 John Gagnon's NPI number?

The NPI number for John Gagnon is 1295715480. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is John Gagnon located?

John Gagnon practices at 610 S Lincoln Rd, Escanaba, MI 49829. The listed phone number is (906) 786-6488.

What is John Gagnon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is John Gagnon enrolled in Medicare?

Yes. John Gagnon 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 organizations bill Medicare for John Gagnon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Gagnon reassigns Medicare benefits to 2 organizations: Bellin Memorial Hospital Inc (Escanaba, MI) and Bellin Psychiatric Center Inc. (Escanaba, MI). 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 John Gagnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Gagnon accept?

Health plans from Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource (Common Ground Healthcare) and HealthPartners list John Gagnon 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 John Gagnon was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.