MARK PUGEDA DPT
NPI 1033535158
Physical Therapist in Lexington, KY
About Mark Pugeda Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK PUGEDA DPT (NPI 1033535158) is an individual physical therapist in Lexington, Kentucky, licensed in West Virginia (PT 003295) and active in the NPI registry since March 2014. He maintains a secondary practice location in Craigsville and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark Pugeda Dpt 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.
Medicare Billing Reassignments
8Medicare enrollment records show Mark Pugeda reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lexington, KY 40513
- Reassigned Medicare billing, Kentucky enrollment
- 132 clinicians in this Medicare group
Cookeville, TN 38501
- Reassigned Medicare billing, Tennessee, Alabama and Kentucky enrollments
- Also billed through NPI 1962417444 (Kentucky)
- 641 clinicians in this Medicare group
Franklin, TN 37067
- Reassigned Medicare billing, Kentucky and Tennessee enrollments
- 106 clinicians in this Medicare group
Chattanooga, TN 37421
- Reassigned Medicare billing, Alabama enrollment
- 200 clinicians in this Medicare group
Chattanooga, TN 37421
- Reassigned Medicare billing, Kentucky enrollment
- 146 clinicians in this Medicare group
Fort Oglethorpe, GA 30742
- Reassigned Medicare billing, Georgia enrollment
- 1,061 clinicians in this Medicare group
Ardmore, AL 35739
- Reassigned Medicare billing, Alabama enrollment
- 250 clinicians in this Medicare group
Pittsburgh, PA 15237
- Reassigned Medicare billing, Pennsylvania enrollment
- 411 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mark Pugeda's NPI number?
The NPI number for Mark Pugeda is 1033535158. It was assigned to this individual provider in the NPPES registry on March 13, 2014.
Where is Mark Pugeda located?
Mark Pugeda practices at 150 W Lowry Ln Ste 150, Lexington, KY 40503. The listed phone number is (859) 421-4416.
What is Mark Pugeda's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mark Pugeda enrolled in Medicare?
Yes. Mark Pugeda 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.
Which organizations bill Medicare for Mark Pugeda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Pugeda reassigns Medicare benefits to 8 organizations: Drayer Physical Therapy Kentucky LLC (Lexington, KY), Agilitas Usa, Inc (Cookeville, TN), Results-Ast Jv, LLC (Franklin, TN), Benchmark Physical Therapy Of Alabama, LLC (Chattanooga, TN), Benchmark Physical Therapy Of Ky LLC (Chattanooga, TN) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Pugeda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Pugeda accept?
Health plans from Blue Cross and Blue Shield of NC list Mark Pugeda 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.
When was this NPI record last updated?
The NPPES record for Mark Pugeda was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Mark Pugeda, DPT · NPI 1033535158
Physical Therapist provider in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since March 13, 2014.
## Identity
- **NPI:** 1033535158 (Entity type: Individual)
- **Enumerated:** March 13, 2014
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** PT 003295 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 150 W LOWRY LN STE 150, Lexington, KY 40503-3030
- **Phone:** (859) 421-4416
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Drayer Physical Therapy Kentucky LLC (NPI 1154754745, Lexington, KY); Agilitas Usa, Inc (NPI 1891030755, Cookeville, TN); Results-Ast Jv, LLC (NPI 1780291948, Franklin, TN); Benchmark Physical Therapy Of Alabama, LLC (NPI 1659642916, Chattanooga, TN); Benchmark Physical Therapy Of Ky LLC (NPI 1043734221, Chattanooga, TN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033535158) · Data from the CMS NPPES public registry.