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JOHN PUGH M.D., PHD
NPI 1053515932
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Albany, NY

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
391 MYRTLE AVENUE, ALBANY, NY 12208(518) 262-3478(518) 262-9985 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2019, Sep 2, 2016 (2 updates tracked since 2016).

About John Pugh M.d., Phd NPPES

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

JOHN PUGH M.D., PHD (NPI 1053515932) is an individual neurology with special qualifications in child neurology provider in Albany, New York, licensed in New York (264898) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2007).

NPPES Registry Identity

NPI1053515932
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameJOHN PUGHCredential: M.D., PHD
Location Address391 MYRTLE AVENUEAlbany, NY 12208-3478
Mailing Address391 Myrtle AvenueAlbany, NY 12208-3478 · (518) 262-1700 · Fax (518) 262-9985
Phone(518) 262-3478
Fax(518) 262-9985
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2007
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 2, 20192 updates tracked since enumeration
✔ NPI 1053515932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in NY · 264898
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
391 MYRTLE AVENUE, Albany, NY 12208
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

John Pugh M.d., Phd 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 ID2668638628
PECOS Enrollment IDI20120720000028
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

Other Providers at the Same Location NPPES 9

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

VASCULAR SURGERY CLINIC OF AMCH
Clinic/Center (Ambulatory Surgical)
391 MYRTLE AVENUE, 5TH FLOOR
ALBANY, NY 12208
Albany County (518) 262-5640
DR. DAVID LAWRENCE COLMAN M.D.
Family Medicine
391 MYRTLE AVENUE, SUITE 4A
ALBANY, NY 12208
Albany County (518) 207-2273
FRANCES ATHENA ROSARIO FNP
Nurse Practitioner (Family)
391 MYRTLE AVENUE, SUITE 4A
ALBANY, NY 12208
Albany County (518) 207-2273
COMMUNITY CARE PHYSICIANS, PC
Family Medicine
391 MYRTLE AVENUE, SUITE 4A
ALBANY, NY 12208
Albany County (518) 207-2273
NEIL MITNICK
Family Medicine
391 MYRTLE AVENUE, SUITE 4A
ALBANY, NY 12208
Albany County (518) 207-2273
SIANA ELIZABETH JACOBS MD
Student in an Organized Health Care Education/Training Program
391 MYRTLE AVENUE
ALBANY, NY 12208
Albany County (518) 264-5026
DR. LEE STETZER MD
Family Medicine
391 MYRTLE AVENUE, SUITE 4A
ALBANY, NY 12208
Albany County (518) 207-2273
MARY JOHNSTON
Family Medicine
391 MYRTLE AVENUE, SUITE 4A
ALBANY, NY 12208
Albany County (518) 207-2273

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 John Pugh's NPI number?

The NPI number for John Pugh is 1053515932. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is John Pugh located?

John Pugh practices at 391 Myrtle Avenue, Albany, NY 12208. The listed phone number is (518) 262-3478.

What is John Pugh's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is John Pugh enrolled in Medicare?

Yes. John 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 John Pugh accept?

Health plans from Providence Health Plan list John 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.

When was this NPI record last updated?

The NPPES record for John Pugh was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.