NPI Details
Mark A Dagostino, MD is an otolaryngology in New Haven, CT with 37 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Mark A Dagostino, MD NPI is 1144230749. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year:1989
The provider's business location address is:
1 LONG WHARF DR
SUITE 302
NEW HAVEN, CT
ZIP 06511-991
Phone: (203) 776-1288
Fax: (203) 776-7741
The NPI 1144230749 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Removal of impacted ear wax (HCPCS:69210)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Comprehensive hearing and speech recognition test (HCPCS:92557)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Exam of ear using a microscope (HCPCS:92504)
- Test to assess middle ear function (HCPCS:92567)
- New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
- Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
- Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
The enumeration date for this NPI number is 8/8/2006 and was last updated on 7/2/2009.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207YP0228X | Otolaryngology | Pediatric Otolaryngology | 034314 | CONNECTICUT | No |
| 2 | 207YX0602X | Otolaryngology | Otolaryngic Allergy | 034314 | CONNECTICUT | No |
| 3 | 207Y00000X | Otolaryngology | | 034314 | CONNECTICUT | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | G41465 | MEDICARE UPIN | | |
| 2 | 001343144 | MEDICAID | CONNECTICUT | |
| 3 | 040000294 | MEDICARE ID-TYPE UNSPECIFIED | CONNECTICUT | |
| 4 | 040011092 | OTHER | CONNECTICUT | RAILROAD MEDICARE PIN |
