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DR. JAMES CHARLTON PAUGH II D.O.
NPI 1083866511
Surgery in Logan, WV

Active since October 15, 2008PECOS EnrolledAccepts Medicare Assignment
77 HOSPITAL DRIVE, LOGAN, WV 25601(304) 792-1847(304) 792-1849 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Charlton Paugh Ii D.o. NPPES

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

DR. JAMES CHARLTON PAUGH II D.O. (NPI 1083866511) is an individual surgery provider in Logan, West Virginia, licensed in West Virginia (2710) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Logan Regional Medical Center, and maintains a secondary practice location in Logan.

NPPES Registry Identity

NPI1083866511
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JAMES CHARLTON PAUGH IICredential: D.O.
Location Address77 HOSPITAL DRIVELogan, WV 25601-3451
Mailing Address99 Sunshine CirChapmanville, WV 25508-9110 · (304) 993-1620
Phone(304) 792-1847
Fax(304) 792-1849
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2008
Enumeration DateOctober 15, 2008
Last NPPES UpdateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1083866511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WV · 2710
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
77 HOSPITAL DRIVE, Logan, WV 25601
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Secondary Practice Location 1

Location 120 Hospital Dr, Kruger Building, Suite 300Logan, WV 25601-3452 · Phone (304) 831-1690 · Fax (304) 831-1693

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. James Charlton Paugh Ii D.o. 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 ID7911131776
PECOS Enrollment IDI20131009001755
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 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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
161 services61 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
58 services51 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.
47 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 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.
37 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services25 patients

Hospital Affiliations CMS Care Compare

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

Logan Regional Medical Center

Acute Care Hospitals · Logan, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510048
Location20 Hospital DriveLogan, WV 25601 · Logan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25601 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
23%193 patients1/55-star benchmark: 96%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
40%373 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%390 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
10%276 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
68%276 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
18%276 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

FERNANDO LUIS GONZALEZ-RAMOS MD
Internal Medicine
77 HOSPITAL DRIVE, SUITE 101
LOGAN, WV 25601
Logan County (304) 831-0450
APPALACHIAN ADDICTION MEDICAL PLLC
Anesthesiology (Addiction Medicine)
77 HOSPITAL DRIVE, SUITE 100 KRUGER BUILDING
LOGAN, WV 25601
Logan County (304) 896-5200
LOGAN HEMATOLOGY-ONCOLOGY INC
Internal Medicine (Hematology & Oncology)
77 HOSPITAL DRIVE
LOGAN, WV 25601
Logan County (304) 792-1116
LOGAN INTERNAL MEDICINE GROUP
Internal Medicine
77 HOSPITAL DRIVE, SUITE 101
LOGAN, WV 25601
Logan County (304) 831-0450
MARK ELIAS TARAKJI MD
Surgery
77 HOSPITAL DRIVE
LOGAN, WV 25601
Logan County (304) 792-1847

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 Paugh's NPI number?

The NPI number for James Paugh is 1083866511. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Where is James Paugh located?

James Paugh practices at 77 Hospital Drive, Logan, WV 25601. The listed phone number is (304) 792-1847.

What is James Paugh's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Paugh enrolled in Medicare?

Yes. James Paugh 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 James Paugh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list James Paugh 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 James Paugh affiliated with any hospitals?

According to CMS data, James Paugh is affiliated with Logan Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Paugh was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.