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DR. ANDREW EVO BERTAGNA DMD, MD
NPI 1790345262
Dentist - Oral and Maxillofacial Surgery in St Charles, IL

Active since June 17, 2019Opted out of Medicare · through Aug 20, 2027
605 COURTYARD DR, ST CHARLES, IL 60174(630) 377-7077 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2025, May 16, 2023, Nov 18, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Andrew Evo Bertagna Dmd, Md NPPES

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

DR. ANDREW EVO BERTAGNA DMD, MD (NPI 1790345262) is an individual oral and maxillofacial surgery provider in St Charles, Illinois, licensed in Illinois (019032240) and active in the NPI registry since June 2019. He has opted out of Medicare through August 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790345262
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ANDREW EVO BERTAGNACredential: DMD, MD
Location Address605 COURTYARD DRSt Charles, IL 60174-1463
Mailing Address825 Seers DrSchaumburg, IL 60173-6198
Phone(630) 377-7077
Sole ProprietorYes
Enumeration DateJune 17, 2019
Last NPPES UpdateJune 23, 20254 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1790345262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019032240
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.
Also ListedDentistTaxonomy 122300000X · License 019032240 (IL)
605 COURTYARD DR, St Charles, IL 60174
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Andrew Evo Bertagna Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 20, 2025 through August 20, 2027.

Opt-Out Effective DateAugust 20, 2025
Opt-Out In Effect ThroughAugust 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60174 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

MGM19 INC
Dentist (Oral and Maxillofacial Surgery)
605 COURTYARD DR
SAINT CHARLES, IL 60174
Kane County (630) 377-7077
DR. MATTHEW GREGORY MCKNIGHT D.D.S., M.D.
Dentist (Oral and Maxillofacial Surgery)
605 COURTYARD DR
SAINT CHARLES, IL 60174
Kane County (630) 377-7077

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 Andrew Bertagna's NPI number?

The NPI number for Andrew Bertagna is 1790345262. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Andrew Bertagna located?

Andrew Bertagna practices at 605 Courtyard Dr, St Charles, IL 60174. The listed phone number is (630) 377-7077.

What is Andrew Bertagna's specialty?

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

Is Andrew Bertagna enrolled in Medicare?

No. Andrew Bertagna has opted out of Medicare through August 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Andrew Bertagna accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Andrew Bertagna 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 Andrew Bertagna was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.