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GREGORY DUGAN RN
NPI 1093388506
Nurse Practitioner in West Reading, PA

Active since July 22, 2021PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
301 S 7TH AVE, WEST READING, PA 19611(484) 628-0580 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2021, Jul 22, 2021 (2 updates tracked since 2021).

About Gregory Dugan Rn NPPES

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

GREGORY DUGAN RN (NPI 1093388506) is an individual nurse practitioner in West Reading, Pennsylvania, licensed in Pennsylvania (SP024556) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093388506
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameGREGORY DUGANCredential: RN
Location Address301 S 7TH AVEWest Reading, PA 19611-1410
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-0799
Phone(484) 628-0580
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 22, 2021
Last NPPES UpdateOctober 19, 20212 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
✔ NPI 1093388506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP024556
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN609150 (PA)
301 S 7TH AVE, West Reading, PA 19611
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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

Gregory Dugan Rn 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 ID2668860511
PECOS Enrollment IDI20211026000442
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

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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

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.

ANKUSH LAHOTI M.D.
Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611
Berks County (610) 375-6565
RANDALL S. WINN M.D.
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Berks County (610) 988-8929
MR. TIMOTHY W MYERS PT
Physical Therapist
301 S 7TH AVE, STE 3220
WEST READING, PA 19611
Berks County (610) 376-8671
BILAL SAULAT M.D.,
Psychiatry & Neurology (Neurology)
301 S 7TH AVE, SUITE 210
READING, PA 19611
Berks County (484) 628-4656
GAIL A. LUECKE M.D.
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Berks County (610) 988-8108
DR. JOHN D CASEY MD
Orthopaedic Surgery
301 S 7TH AVE, SUITE 3220
WEST READING, PA 19611
Berks County (610) 376-8671
LEONARD J MARCHINSKI MD PC-PHYSICAL THERAPY
Physical Therapist
301 S 7TH AVE, SUITE 3020
WEST READING, PA 19611
Berks County (610) 375-6147
EARL J HOPE M.D.
Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611
Berks County (610) 375-6565

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 Gregory Dugan's NPI number?

The NPI number for Gregory Dugan is 1093388506. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Where is Gregory Dugan located?

Gregory Dugan practices at 301 S 7th Ave, West Reading, PA 19611. The listed phone number is (484) 628-0580.

What is Gregory Dugan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gregory Dugan enrolled in Medicare?

Yes. Gregory Dugan 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 Gregory Dugan affiliated with any hospitals?

According to CMS data, Gregory Dugan is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Dugan was last updated on October 19, 2021. 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.