MICHAEL A DAGOSTINO (OD) – Optometrist, NPI 1871595488

MICHAEL A DAGOSTINO (OD) is a healthcare provider. based in St augustine, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC3884 (FL). The NPI Number for MICHAEL A DAGOSTINO (OD) is 1871595488

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL A DAGOSTINO (OD)
NPI
1871595488
Phone
(904) 829-2286
Address
1400 US HIGHWAY 1 S
Enumeration Date
12 August 2005
Last Update Date
2 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048292286
Graduation Year
2004 (22 years ago)
PAC ID
0648239020
Group Practice PAC ID
2668431040
Professional Enrollment ID
I20041011000350
Address ID
FL320844211ST1400XSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for MICHAEL A DAGOSTINO (OD)

  • 1400 US HIGHWAY 1 S

    ST AUGUSTINE, FL 320844211

    Phone: (904) 829-2286

    Fax: (904) 810-5687

    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 9 Open Payments records for all available years, with a total value of $339.

Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($150).

Total Amount

$339

General + Research + Ownership

Payments

9

Total payment records

General Amount

$339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

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: 2004-10-11

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
I20041011000350IOptometryFLTBD

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
92014Established patient complete exam of visual system1,171976$0
92012Established patient problem focused exam of visual system811488$0
99204New patient office or other outpatient visit, 45-59 minutes313313$0
92134Imaging of retina285269$0
92133Imaging of optic nerve224215$0
View full utilization report →

Insurance plans in this area (ZIP 32084)

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Provider's Procedures

MICHAEL A DAGOSTINO (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92012Eye and medical examination for diagnosis and treatment, established patient933579
OPTOMETRYFL92083Measurement of field of vision during daylight conditions131114
OPTOMETRYFL92134Diagnostic imaging of retina140127

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: 2668431040View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
-FL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
-FL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Does MICHAEL A DAGOSTINO (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL A DAGOSTINO (OD) uses 1871595488.
Does CMS list MICHAEL A DAGOSTINO (OD) as active?
Yes — MICHAEL A DAGOSTINO (OD) is active in the NPI listing used on this page.
What is MICHAEL A DAGOSTINO (OD)'s specialty?
The listing groups MICHAEL A DAGOSTINO (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL A DAGOSTINO (OD)?
MICHAEL A DAGOSTINO (OD)'s geographic hint is St Augustine, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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