GARY LI DMD
NPI 1760008668
Dentist - Periodontics in Agawam, MA

Q: What is Gary Li's NPI number?

The NPI number for Gary Li is 1760008668. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Q: What is Gary Li's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Gary Li was last updated on July 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 17, 2020PECOS Enrolled

158 MAIN ST STE 101, AGAWAM, MA 01001(413) 728-1500 Get Directions Write a Review

NPPES record last updated: July 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gary Li Dmd NPPES

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

GARY LI DMD (NPI 1760008668) is an individual periodontics provider in Agawam, Massachusetts, licensed in Massachusetts (DN1859006) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760008668

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameGARY LICredential: DMD

Location Address158 MAIN ST STE 101Agawam, MA 01001-1803

Mailing Address26 Kempton StBoston, MA 02115-6271 · (617) 407-0451

Phone(413) 728-1500

Sole ProprietorNo

Enumeration DateJune 17, 2020

Last NPPES UpdateJuly 1, 2023

NPPES CertifiedMay 22, 2023

✔ NPI 1760008668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MA · DN1859006

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

158 MAIN ST STE 101, Agawam, MA 01001

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.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)

Gary Li Dmd 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 01001 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

DR. MARTIN TALIA DDS

Dentist

158 MAIN ST STE 101
AGAWAM, MA 01001

Hampden County (413) 786-2341

DR. DIEGO ARMANDO RODRIGUEZ DMD

Dentist (Periodontics)

158 MAIN ST STE 101
AGAWAM, MA 01001

Hampden County (413) 207-0999

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 Gary Li's NPI number?

The NPI number for Gary Li is 1760008668. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Where is Gary Li located?

Gary Li practices at 158 Main St Ste 101, Agawam, MA 01001. The listed phone number is (413) 728-1500.

What is Gary Li's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Gary Li enrolled in Medicare?

Yes. Gary Li is registered in the Medicare PECOS enrollment system.

What insurance does Gary Li accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Gary Li 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 Gary Li was last updated on July 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.