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DR. ERIK JOHN LIGAS DDS
NPI 1700197704
Dentist in Troy, MI

Active since June 24, 2010PECOS Enrolled
84.57/100
CMS Quality Rating
3430 NEWGATE DR, TROY, MI 48084(734) 223-4063 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2021, Aug 12, 2020, Sep 22, 2016 (3 updates tracked since 2016).

About Dr. Erik John Ligas Dds NPPES

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

DR. ERIK JOHN LIGAS DDS (NPI 1700197704) is an individual dentist in Troy, Michigan, licensed in Illinois (019-029228) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700197704
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ERIK JOHN LIGASCredential: DDS
Location Address3430 NEWGATE DRTroy, MI 48084-1232
Mailing Address9119 S Exchange AveChicago, IL 60617-4225 · (773) 768-5000
Phone(734) 223-4063
Sole ProprietorNo
Enumeration DateJune 24, 2010
Last NPPES UpdateApril 26, 20213 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1700197704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019-029228
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019.029228 (IL)
3430 NEWGATE DR, Troy, MI 48084
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Erik John Ligas 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.

Medicare Billing Reassignment

Medicare enrollment records show Erik Ligas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook County
232 mi
Primary Care
6337 S WOODLAWN AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1497874325 (773) 753-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48084 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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 Erik Ligas's NPI number?

The NPI number for Erik Ligas is 1700197704. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Where is Erik Ligas located?

Erik Ligas practices at 3430 Newgate Dr, Troy, MI 48084. The listed phone number is (734) 223-4063.

What is Erik Ligas's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Erik Ligas enrolled in Medicare?

Yes. Erik Ligas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Erik Ligas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Ligas reassigns Medicare benefits to Cook County (Chicago, IL). The 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 Erik Ligas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erik Ligas accept?

Health plans from Humana list Erik Ligas 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 Erik Ligas was last updated on April 26, 2021. 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.