DR. JAMES JOSEPH GUGGER JR.
NPI 1053705988
Psychiatry & Neurology - Neurology in Rochester, NY

Q: What is James Gugger's NPI number?

The NPI number for James Gugger is 1053705988. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Q: What is James Gugger's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for James Gugger was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment

85.48/100

CMS Quality Rating

601 ELMWOOD AVE BOX 278984, ROCHESTER, NY 14642(585) 341-7500 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Aug 6, 2020 (2 updates tracked since 2020).

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About Dr. James Joseph Gugger Jr. NPPES

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

DR. JAMES JOSEPH GUGGER JR. (NPI 1053705988) is an individual neurology provider in Rochester, New York, licensed in New York (332381) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of State University Of New York Downstate Medical Center (2015).

NPPES Registry Identity

NPI1053705988

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. JAMES JOSEPH GUGGER JR.

Location Address601 ELMWOOD AVE BOX 278984Rochester, NY 14642-0001

Mailing Address601 Elmwood Ave Box 278984Rochester, NY 14642-0001

Phone(585) 341-7500

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 2015

Enumeration DateMarch 28, 2015

Last NPPES UpdateMay 6, 20252 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1053705988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in NY · 332381✔ Licensed in PA · MD467022

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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

601 ELMWOOD AVE BOX 278984, Rochester, NY 14642

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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. James Joseph Gugger Jr. 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 ID1759600356

PECOS Enrollment IDI20241028000908

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 2

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.

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720

This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.

23 services16 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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.

85.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.6

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 2

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

DR. ANDREW THOMAS BECKWITH MD

Psychiatry & Neurology (Neurology)

601 ELMWOOD AVE BOX 278984
ROCHESTER, NY 14642

Monroe County (585) 275-7854

JACOB KORZUN MD

Psychiatry & Neurology (Neurology)

601 ELMWOOD AVE BOX 278984
ROCHESTER, NY 14642

Monroe County (585) 341-7500

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 James Gugger's NPI number?

The NPI number for James Gugger is 1053705988. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Where is James Gugger located?

James Gugger practices at 601 Elmwood Ave Box 278984, Rochester, NY 14642. The listed phone number is (585) 341-7500.

What is James Gugger's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is James Gugger enrolled in Medicare?

Yes. James Gugger 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.

Is James Gugger affiliated with any hospitals?

According to CMS data, James Gugger is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Gugger was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.