MADELINE AGOSTO (M.D.) – Family Medicine Physician, NPI 1053363580

MADELINE AGOSTO (M.D.) is a healthcare provider. based in Lima, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 35 06 8718 (OH). The NPI Number for MADELINE AGOSTO (M.D.) is 1053363580

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
MADELINE AGOSTO (M.D.)
NPI
1053363580
Phone
(419) 999-1060
Address
589 WILDBROOK LN
Enumeration Date
16 May 2006
Last Update Date
17 March 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
8921085705
Group Practice PAC ID
7517943269
Professional Enrollment ID
I20120220000410
Address ID
OH458052769LI915XXEXXX500
Telehealth
Yes
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

4,431 FAMILY PRACTICE in OH

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Provider Addresses for MADELINE AGOSTO (M.D.)

  • 589 WILDBROOK LN

    LIMA, OH 458071991

    Phone: (419) 999-1060

    Type: Mailing

  • 915, West Market Street, Lima, Allen County, Ohio, 45805, United States

    LIMA, OH 458052768

    Phone: (419) 229-4747

    Fax: (419) 224-3348

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,149.

Total Amount is formed as General ($1,149) + Research ($0) + Ownership ($0) = $1,149.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($324).

Total Amount

$1,149

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2012-02-20

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
I20120220000410IFamily PracticeOHTBD

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 minutes417172$0
99214Established patient office or other outpatient visit, 30-39 minutes13287$0
82962Blood glucose (sugar) test performed by hand-held instrument13156$0
83036Hemoglobin a1c level12856$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9696$0
View full utilization report →

Insurance plans in this area (ZIP 45807)

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Provider's Procedures

MADELINE AGOSTO (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH90670Pneumococcal vaccine for injection into muscle5959

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: 7517943269View full group profile
NameSpecialtyState
Family PracticeOH
Emergency Medicine, Family PracticeOH
Emergency Medicine, Family PracticeOH

Reviews

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Frequently asked questions

What number should I use to identify MADELINE AGOSTO (M.D.) for billing?
Administrative and clinical systems typically use NPI 1053363580 for MADELINE AGOSTO (M.D.).
Should I treat MADELINE AGOSTO (M.D.) as an active provider?
Patients and plans typically see MADELINE AGOSTO (M.D.) as active in the national extract.
How should patients interpret MADELINE AGOSTO (M.D.)'s specialty?
The extract shows Family Medicine Physician for MADELINE AGOSTO (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to MADELINE AGOSTO (M.D.)?
The directory associates MADELINE AGOSTO (M.D.) with Lima, Ohio. Check all listed addresses for suites or satellite offices.
Can I export MADELINE AGOSTO (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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