DR. DANNY P PUGH MD
NPI 1114009289
Surgery in Athens, TX

Q: What is Danny Pugh's NPI number?

The NPI number for Danny Pugh is 1114009289. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Danny Pugh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Danny Pugh was last updated on March 24, 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.

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

115 MEDICAL CIR, SUITE 107, ATHENS, TX 75751(903) 675-5781(903) 677-1008 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Danny P Pugh Md NPPES

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

DR. DANNY P PUGH MD (NPI 1114009289) is an individual surgery provider in Athens, Texas, licensed in Texas (F9980) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1981).

NPPES Registry Identity

NPI1114009289

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. DANNY P PUGHCredential: MD

Location Address115 MEDICAL CIR, SUITE 107Athens, TX 75751-9004

Mailing AddressPo Box CAthens, TX 75751-1078 · (903) 675-5781 · Fax (903) 677-1008

Phone(903) 675-5781

Fax(903) 677-1008

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1981

Enumeration DateOctober 19, 2006

Last NPPES UpdateMarch 24, 2026

NPPES CertifiedMarch 24, 2026

✔ NPI 1114009289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · F9980

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.

115 MEDICAL CIR, Athens, TX 75751

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Danny P Pugh Md 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 ID4981638988

PECOS Enrollment IDI20110211000120

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.

167 services59 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.

70 services70 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.

64 services61 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.

34 services27 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

22 services22 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.

18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450083

Location1000 South Beckham AveTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450389

Location2000 South Palestine StAthens, TX 75751 · Henderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75751 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

97.58/100

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

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

SARAH GRACE RATLIFF DO

Student in an Organized Health Care Education/Training Program

115 MEDICAL CIR
ATHENS, TX 75751

Henderson County (903) 676-1145

ATHENS SURGICAL ASSOC., P A

Surgery

115 MEDICAL CIR, SUITE 107
ATHENS, TX 75751

Henderson County (903) 675-5781

DR. MAUNG MAUNG OO M.D.

Internal Medicine (Hematology & Oncology)

115 MEDICAL CIR, SUITE 106
ATHENS, TX 75751

Henderson County (903) 675-1322

COKER AND QUALLS, PA

Family Medicine

115 MEDICAL CIR, SUITE 100
ATHENS, TX 75751

Henderson County (601) 917-3319

MARY K ENDRES FNP

Nurse Practitioner (Family)

115 MEDICAL CIR, SUITE 100B
ATHENS, TX 75751

Henderson County (903) 675-5742

JONATHAN D. EDWARDS, M.D.

Family Medicine

115 MEDICAL CIR, SUITE 100B
ATHENS, TX 75751

Henderson County (903) 675-5742

CHRISTOPHER R. JOHNSON, M.D., P.A.

Internal Medicine

115 MEDICAL CIR, SUITE 108
ATHENS, TX 75751

Henderson County (903) 670-3185

CURTIS ERIC GREY M.D.

Family Medicine

115 MEDICAL CIR, SUITE 100F
ATHENS, TX 75751

Henderson County (903) 675-5741

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 Danny Pugh's NPI number?

The NPI number for Danny Pugh is 1114009289. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Danny Pugh located?

Danny Pugh practices at 115 Medical Cir Suite 107, Athens, TX 75751. The listed phone number is (903) 675-5781.

What is Danny Pugh's specialty?

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

Is Danny Pugh enrolled in Medicare?

Yes. Danny 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 Danny Pugh accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Danny 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.

Is Danny Pugh affiliated with any hospitals?

According to CMS data, Danny Pugh is affiliated with Ut Health East Texas Tyler Regional Hospital and Ut Health East Texas Athens Hospital.

When was this NPI record last updated?

The NPPES record for Danny Pugh was last updated on March 24, 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.