DR. DUSTIN ALAN PAGORIA M.D.
NPI 1427291236
Urology in Stevens Point, WI
About Dr. Dustin Alan Pagoria M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DUSTIN ALAN PAGORIA M.D. (NPI 1427291236) is an individual urology provider in Stevens Point, Wisconsin, licensed in Wisconsin (55685) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Dustin Alan Pagoria 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.
Medicare Billing Reassignments
10Medicare enrollment records show Dustin Pagoria reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 619 clinicians in this Medicare group
Stevens Point, WI 54482
- Reassigned Medicare billing, Wisconsin enrollment
- 633 clinicians in this Medicare group
Wisconsin Rapids, WI 54494
- Reassigned Medicare billing, Wisconsin enrollment
- 397 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Merrill, WI 54452
- Reassigned Medicare billing, Wisconsin enrollment
- 351 clinicians in this Medicare group
Woodruff, WI 54568
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
- 358 clinicians in this Medicare group
Watertown, WI 53098
- Reassigned Medicare billing, Wisconsin enrollment
- 215 clinicians in this Medicare group
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 1,377 clinicians in this Medicare group
Waukesha, WI 53188
- Reassigned Medicare billing, Wisconsin enrollment
- 17 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 14
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Waukesha Memorial Hospital
Acute Care Hospitals · Waukesha, WIOconomowoc Memorial Hospital
Acute Care Hospitals · Oconomowoc, WIWatertown Memorial Hospital
Acute Care Hospitals · Watertown, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54481 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Dustin Pagoria's NPI number?
The NPI number for Dustin Pagoria is 1427291236. It was assigned to this individual provider in the NPPES registry on April 8, 2009.
Where is Dustin Pagoria located?
Dustin Pagoria practices at 824 Illinois Ave, Stevens Point, WI 54481. The listed phone number is (715) 342-7500.
What is Dustin Pagoria's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Dustin Pagoria enrolled in Medicare?
Yes. Dustin Pagoria 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 Dustin Pagoria's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Pagoria reassigns Medicare benefits to 10 organizations: Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Stevens Point, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI), Aspirus Wausau Hospital, Inc. (Stevens Point, WI), Aspirus Riverview Hospital & Clinics, Inc. (Wisconsin Rapids, WI), Marshfield Clinic Inc (Marshfield, WI) and 5 more organizations, listed in the Medicare section above. 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 Dustin Pagoria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dustin Pagoria accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Group Health Cooperative-SCW and MercyCare and 5 other insurers list Dustin Pagoria 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 Dustin Pagoria affiliated with any hospitals?
According to CMS data, Dustin Pagoria is affiliated with Waukesha Memorial Hospital, Oconomowoc Memorial Hospital and Watertown Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Dustin Pagoria was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Dustin Alan Pagoria, M.D. · NPI 1427291236
Urology physician in Stevens Point, Wisconsin. Individual provider, active in the CMS NPPES registry since April 8, 2009.
## Identity
- **NPI:** 1427291236 (Entity type: Individual)
- **Enumerated:** April 8, 2009
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 55685 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 824 ILLINOIS AVE, Stevens Point, WI 54481-3112
- **Phone:** (715) 342-7500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1144991340, Stevens Point, WI); Aspirus Stevens Point Hospital & Clinics, Inc. (NPI 1538112230, Stevens Point, WI); Aspirus Wausau Hospital, Inc. (NPI 1598375271, Stevens Point, WI); Aspirus Riverview Hospital & Clinics, Inc. (NPI 1184176059, Wisconsin Rapids, WI); Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** September 9, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1427291236) · Data from the CMS NPPES public registry.