MARK A DAGOSTINO (MD) – Otolaryngology Physician, NPI 1144230749

MARK A DAGOSTINO (MD) is a healthcare provider. based in New haven, Connecticut. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 034314 (CT). The NPI Number for MARK A DAGOSTINO (MD) is 1144230749

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MARK A DAGOSTINO (MD)
NPI
1144230749
Phone
(203) 776-1288
Address
1 LONG WHARF DR
Enumeration Date
8 August 2006
Last Update Date
2 July 2009

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
8603440055
Graduation Year
1989 (37 years ago)
PAC ID
9638221096
Group Practice PAC ID
3971655325
Professional Enrollment ID
I20090715000682
Address ID
CT064573606MI51XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

160 OTOLARYNGOLOGY in CT

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Provider Addresses for MARK A DAGOSTINO (MD)

  • 1, Long Wharf Drive, Long Wharf, City Point, New Haven, New Haven County, Connecticut, 06519, United States

    SUITE 302

    NEW HAVEN, CT 065115991

    Phone: (203) 776-1288

    Fax: (203) 776-7741

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-09-29 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($35).

Total Amount

$35

General + Research + Ownership

Payments

1

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090715000682IOtolaryngologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes321216$0
69210Removal of impacted ear wax197137$0
99212Established patient office or other outpatient visit, 10-19 minutes155103$0
99203New patient office or other outpatient visit, 30-44 minutes101101$0
92557Comprehensive hearing and speech recognition test7877$0
View full utilization report →

Insurance plans in this area (ZIP 06511)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971655325View full group profile
NameSpecialtyState
Physician AssistantCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT
-CT
O T O L A R Y N G O L O G YCT
Physician AssistantCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT

Reviews

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Frequently asked questions

What is MARK A DAGOSTINO (MD)'s NPI number?
MARK A DAGOSTINO (MD)'s NPI is 1144230749 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MARK A DAGOSTINO (MD)?
For scheduling context, MARK A DAGOSTINO (MD) is shown as active in the registry.
What area of care is associated with MARK A DAGOSTINO (MD)?
MARK A DAGOSTINO (MD)'s record emphasizes Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where in Connecticut is MARK A DAGOSTINO (MD) registered?
Use New Haven, Connecticut as the headline location for MARK A DAGOSTINO (MD) here.
When was this NPI issued?
Enumeration for MARK A DAGOSTINO (MD) is noted as August 8, 2006 where the registry provides it.

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