DR. SPENCER PUGH M.D.
NPI 1003294992
Internal Medicine - Pulmonary Disease in Knoxville, TN

Q: What is Spencer Pugh's NPI number?

The NPI number for Spencer Pugh is 1003294992. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Q: What is Spencer Pugh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Pugh was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 11, 2015PECOS EnrolledAccepts Medicare Assignment

1924 ALCOA HWY, DEPARTMENT OF MEDICINE U-114 GSM, UTMCK, KNOXVILLE, TN 37920(865) 305-9340(865) 305-9144 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2022, Dec 26, 2019 (2 updates tracked since 2019).

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About Dr. Spencer Pugh M.d. NPPES

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

DR. SPENCER PUGH M.D. (NPI 1003294992) is an individual pulmonary disease provider in Knoxville, Tennessee, licensed in Tennessee (58735) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2015).

NPPES Registry Identity

NPI1003294992

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. SPENCER PUGHCredential: M.D.

Location Address1924 ALCOA HWY, DEPARTMENT OF MEDICINE U-114 GSM, UTMCKKnoxville, TN 37920-1511

Mailing Address1924 Alcoa Hwy, Department Of Medicine U-114 Gsm, UtmckKnoxville, TN 37920-1511 · (865) 305-9340 · Fax (865) 305-9144

Phone(865) 305-9340

Fax(865) 305-9144

Sole ProprietorYes

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2015

Enumeration DateMay 11, 2015

Last NPPES UpdateApril 8, 20222 updates tracked since enumeration

NPPES CertifiedApril 8, 2022

✔ NPI 1003294992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TN · 58735

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 58735 (TN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1924 ALCOA HWY, Knoxville, TN 37920

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Spencer Pugh M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618262593

PECOS Enrollment IDI20200227001700

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

228 services95 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

144 services71 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

48 services28 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

30 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

30 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services24 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services24 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

23 services22 patients

Test to measure expiratory airflow and volume 94010

22 services22 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

17 services16 patients

Test to examine how well the lungs exchange gases 94729

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508

A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.

14 services14 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440009

Location421 S Main StCrossville, TN 38555 · Cumberland County

Emergency services Birthing friendly

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440034

Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County

Emergency services Birthing friendly

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440120

Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County

Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440125

Location1901 W Clinch AveKnoxville, TN 37916 · Knox County

Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440173

Location9352 Park West BlvdKnoxville, TN 37923 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$103.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MRS. SUSANNE LORI MITCHELL RN

Registered Nurse (Obstetric, High-Risk)

1924 ALCOA HWY, 6S
KNOXVILLE, TN 37920

Knox County (865) 305-8888

DR. FELIX JOSEPH NEPVEUX V M.D.

Student in an Organized Health Care Education/Training Program

1924 ALCOA HWY, UNIV. OF TENNESSEE MEDICAL CENTER, DEPT. OF PATHOLOGY
KNOXVILLE, TN 37920

Knox County (864) 498-8960

CAITLIN TABLER LOWE

Nurse Practitioner (Gerontology)

1924 ALCOA HWY
KNOXVILLE, TN 37920

Knox County (865) 305-7255

JOAN JAKAB

Pharmacist

1924 ALCOA HWY
KNOXVILLE, TN 37920

Knox County (865) 305-5337

UNIVERSITY PATHOLOGISTS, P.C.

Pathology (Anatomic Pathology & Clinical Pathology)

1924 ALCOA HWY
KNOXVILLE, TN 37920

Knox County (865) 305-9080

DAPHNE M. NORWOOD, MD

Internal Medicine

1924 ALCOA HWY, BOX U114
KNOXVILLE, TN 37920

Knox County (865) 305-9349

ALEJANDRO CONDE

Nurse Anesthetist, Certified Registered

1924 ALCOA HWY
KNOXVILLE, TN 37920

Knox County (865) 305-9000

DANIEL EUGENE BREWER MD

Hospitalist

1924 ALCOA HWY, U56
KNOXVILLE, TN 37920

Knox County (865) 305-9081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Pugh's NPI number?

The NPI number for Spencer Pugh is 1003294992. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Spencer Pugh located?

Spencer Pugh practices at 1924 Alcoa Hwy Department Of Medicine U-114 Gsm, Utmck, Knoxville, TN 37920. The listed phone number is (865) 305-9340.

What is Spencer Pugh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Spencer Pugh enrolled in Medicare?

Yes. Spencer Pugh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Spencer Pugh accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Spencer Pugh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Spencer Pugh affiliated with any hospitals?

According to CMS data, Spencer Pugh is affiliated with Cumberland Medical Center, Methodist Medical Center Of Oak Ridge, Physicians Regional Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Spencer Pugh was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.