DOMINIC JOSEPH GAGNON DDS
NPI 1669760138
Dentist - General Practice in Staples, MN

Active since July 18, 2011PECOS Enrolled
616 4TH ST NE, STAPLES, MN 56479(218) 894-2201 Get Directions Write a Review

NPPES record last updated: August 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominic Joseph Gagnon Dds NPPES

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

DOMINIC JOSEPH GAGNON DDS (NPI 1669760138) is an individual general practice provider in Staples, Minnesota, licensed in Minnesota (D12933) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669760138
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDOMINIC JOSEPH GAGNONCredential: DDS
Location Address616 4TH ST NEStaples, MN 56479
Mailing Address616 4th St NeStaples, MN 56479-2273 · (218) 894-2201
Sole ProprietorNo
Enumeration DateJuly 18, 2011
Last NPPES UpdateAugust 4, 2018
NPI 1669760138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D12933
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.
616 4TH ST NE, Staples, MN 56479

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)

Dominic Joseph Gagnon Dds 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 56479 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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

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

Psychologist (Counseling)
616 4TH ST NE
STAPLES, MN 56479

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 Dominic Gagnon's NPI number?

The NPI number for Dominic Gagnon is 1669760138. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Dominic Gagnon located?

Dominic Gagnon practices at 616 4th St NE, Staples, MN 56479. The listed phone number is (218) 894-2201.

What is Dominic Gagnon's specialty?

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

Is Dominic Gagnon enrolled in Medicare?

Yes. Dominic Gagnon is registered in the Medicare PECOS enrollment system.

What insurance does Dominic Gagnon accept?

Health plans from Blue Cross and Blue Shield of Alabama, Florida Combined Life, Humana and UnitedHealthcare list Dominic 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 Dominic Gagnon was last updated on August 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.