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DR. ANDREW PUGH MD
NPI 1154859577
Emergency Medicine in Arvada, CO

Active since May 30, 2017PECOS EnrolledAccepts Medicare Assignment
88.61/100
CMS Quality Rating
9505 RALSTON ROAD, ARVADA, CO 80002(720) 842-0000 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2021, Feb 27, 2020, Oct 18, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Andrew Pugh Md NPPES

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

DR. ANDREW PUGH MD (NPI 1154859577) is an individual emergency medicine provider in Arvada, Colorado, licensed in Colorado (DR.0065692) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154859577
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ANDREW PUGHCredential: MD
Location Address9505 RALSTON ROADArvada, CO 80002
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Phone(720) 842-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 30, 2017
Last NPPES UpdateJanuary 19, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1154859577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CO · DR.0065692✔ Licensed in UT · 10959136-1205
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
9505 RALSTON ROAD, Arvada, CO 80002
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Secondary Practice Location 1

Location 1University Of Utah Hospital 50 N Medical DrSalt Lake City, UT 84132-0001 · Phone (801) 581-2272

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Andrew 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 ID8123371473
PECOS Enrollment IDI20210215000062
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
191 services186 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
124 services118 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
52 services52 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80002 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

88.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.6
Improvement Activities40

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.

ARVADA RALSTON MEDICAL CENTER
Clinic/Center (Emergency Care)
9505 RALSTON ROAD
ARVADA, CO 80002
Jefferson County (972) 899-6660
MIRANDA MESLOH M.D.
Emergency Medicine
9505 RALSTON ROAD
ARVADA, CO 80002
Jefferson County (720) 848-0000

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 Andrew Pugh's NPI number?

The NPI number for Andrew Pugh is 1154859577. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Andrew Pugh located?

Andrew Pugh practices at 9505 Ralston Road, Arvada, CO 80002. The listed phone number is (720) 842-0000.

What is Andrew Pugh's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrew Pugh enrolled in Medicare?

Yes. Andrew 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 Andrew Pugh accept?

Health plans from Medica list Andrew 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 Andrew Pugh was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.