MICHAEL LEONARD BAGNOLI
NPI 1700976719
Dentist - Oral and Maxillofacial Surgery in Lafayette, IN

Q: What is Michael Bagnoli's NPI number?

The NPI number for Michael Bagnoli is 1700976719. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Michael Bagnoli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Bagnoli was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 13, 2006PECOS Enrolled

2020 UNION STREET, SUITE 200, LAFAYETTE, IN 47904(765) 446-8808(765) 446-9567 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Michael Leonard Bagnoli NPPES

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

MICHAEL LEONARD BAGNOLI (NPI 1700976719) is an individual oral and maxillofacial surgery provider in Lafayette, Indiana, licensed in Indiana (12008541A) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700976719

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameMICHAEL LEONARD BAGNOLI

Location Address2020 UNION STREET, SUITE 200Lafayette, IN 47904

Mailing Address40 Redwood CourtLafayette, IN 47904 · Fax (765) 446-9567

Phone(765) 446-8808

Fax(765) 446-9567

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700976719 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 IN · 12008541A

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.

2020 UNION STREET, Lafayette, IN 47904

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Other Identifiers 1

Medicare ID-Type Unspecified807910AIN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Leonard Bagnoli 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 47904 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 2

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

ORAL AND MAXILLOFACIAL SURGERY CENTER OF LAFAYETTE

Dentist (Oral and Maxillofacial Surgery)

2020 UNION STREET, SUITE 200
LAFAYETTE, IN 47904

Tippecanoe County (765) 446-8808

DR. JOEL R DRAGOO DDS

Dentist (Oral and Maxillofacial Surgery)

2020 UNION STREET, SUITE 200
LAFAYETTE, IN 47904

Tippecanoe County (765) 446-8808

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 Michael Bagnoli's NPI number?

The NPI number for Michael Bagnoli is 1700976719. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Michael Bagnoli located?

Michael Bagnoli practices at 2020 Union Street Suite 200, Lafayette, IN 47904. The listed phone number is (765) 446-8808.

What is Michael Bagnoli's specialty?

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

Is Michael Bagnoli enrolled in Medicare?

Yes. Michael Bagnoli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Bagnoli was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.