MICHAEL THEODORE HAGLEY DDS
NPI 1972616605
Dentist - General Practice in Grand Rapids, MN

Q: What is Michael Hagley's NPI number?

The NPI number for Michael Hagley is 1972616605. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Michael Hagley's specialty?

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

Q: Is Michael Hagley enrolled in Medicare?

No. Michael Hagley has opted out of Medicare through June 20, 2028. 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.

Q: When was this NPI record last updated?

The NPPES record for Michael Hagley 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 August 16, 2006Opted out of Medicare · through Jun 20, 2028

220 SE 21ST ST, GRAND RAPIDS, MN 55744(218) 326-3438(218) 327-1475 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Michael Theodore Hagley Dds NPPES

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

MICHAEL THEODORE HAGLEY DDS (NPI 1972616605) is an individual general practice provider in Grand Rapids, Minnesota, licensed in Minnesota (8842) and active in the NPI registry since August 2006. He has opted out of Medicare through June 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972616605

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMICHAEL THEODORE HAGLEYCredential: DDS

Location Address220 SE 21ST STGrand Rapids, MN 55744-4268

Mailing Address220 Se 21st StGrand Rapids, MN 55744 · (218) 326-3438 · Fax (218) 327-1475

Phone(218) 326-3438

Fax(218) 327-1475

Sole ProprietorYes

Enumeration DateAugust 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1972616605 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 · 8842

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.

220 SE 21ST ST, Grand Rapids, MN 55744

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINT65577MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael Theodore Hagley Dds 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 June 20, 2018 through June 20, 2028.

Opt-Out Effective DateJune 20, 2018

Opt-Out In Effect ThroughJune 20, 2028Opt-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 55744 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 5

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

DR. DEAN J SINGSANK DDS

Dentist (General Practice)