MR. JOHN L. LIGNELLI II D.M.D.
NPI 1316163397
Dentist - Oral and Maxillofacial Surgery in Pottstown, PA

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
1630 E HIGH ST, BLD #4, POTTSTOWN, PA 19464(610) 326-1972(610) 326-5491 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. John L. Lignelli Ii D.m.d. NPPES

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

MR. JOHN L. LIGNELLI II D.M.D. (NPI 1316163397) is an individual oral and maxillofacial surgery provider in Pottstown, Pennsylvania, licensed in Pennsylvania (DS035799) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and is a graduate of Temple University School Of Medicine (2007).

NPPES Registry Identity

NPI1316163397
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMR. JOHN L. LIGNELLI IICredential: D.M.D.
Location Address1630 E HIGH ST, BLD #4Pottstown, PA 19464-3244
Mailing Address235 Clubhouse CirGilbertsville, PA 19525-8808 · (610) 326-7880
Fax(610) 326-5491
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2007
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1316163397 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 PA · DS035799
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.

1630 E HIGH ST, Pottstown, PA 19464

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 and accepts Medicare assignment

Mr. John L. Lignelli Ii D.m.d. 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 ID6002908217
PECOS Enrollment IDI20070817000243
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.

Areas of Expertise CMS Part B claims 5

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.

X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
190 services183 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.
115 services115 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.
73 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 7

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

Dentist (Oral and Maxillofacial Surgery)
1630 E HIGH ST, BLDG 4
POTTSTOWN, PA 19464
Dentist (Oral and Maxillofacial Surgery)
1630 E HIGH ST, BLDG 4
POTTSTOWN, PA 19464
Dentist (Oral and Maxillofacial Surgery)
1630 E HIGH ST, BLDG 4
POTTSTOWN, PA 19464
Nurse Practitioner (Psychiatric/Mental Health)
1630 E HIGH ST
POTTSTOWN, PA 19464
Social Worker (Clinical)
1630 E HIGH ST, BLDG 4
POTTSTOWN, PA 19464
Nurse Practitioner (Psychiatric/Mental Health)
1630 E HIGH ST, BLDG 4
POTTSTOWN, PA 19464
Dietitian, Registered
1630 E HIGH ST
POTTSTOWN, PA 19464

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 Lignelli's NPI number?

The NPI number for John Lignelli is 1316163397. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is John Lignelli located?

John Lignelli practices at 1630 E High St Bld #4, Pottstown, PA 19464. The listed phone number is (610) 326-1972.

What is John Lignelli's specialty?

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

Is John Lignelli enrolled in Medicare?

Yes. John Lignelli 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.

What insurance does John Lignelli accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list John Lignelli 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.

Is John Lignelli affiliated with any hospitals?

According to CMS data, John Lignelli is affiliated with Pottstown Hospital.

When was this NPI record last updated?

The NPPES record for John Lignelli was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.