DR. KENNETH DOUGLAS PUGAR D.O.
NPI 1174961874
Psychiatry & Neurology - Neurology in Dayton, OH

Active since June 05, 2013PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
405 W GRAND AVE, DAYTON, OH 45405(937) 723-3564 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2024, Feb 25, 2020, May 2, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Kenneth Douglas Pugar D.o. NPPES

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

DR. KENNETH DOUGLAS PUGAR D.O. (NPI 1174961874) is an individual neurology provider in Dayton, Ohio, licensed in Ohio (34.012511) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Ohio University, College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1174961874
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. KENNETH DOUGLAS PUGARCredential: D.O.
Location Address405 W GRAND AVEDayton, OH 45405-4720
Mailing Address1975 Miamisburg Centerville RdCenterville, OH 45459-3811 · (937) 439-6186 · Fax (934) 396-6189
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2013
Enumeration DateJune 5, 2013
Last NPPES UpdateJuly 11, 20244 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1174961874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in OH · 34.012511
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.

405 W GRAND AVE, Dayton, OH 45405

Other Identifiers 1

Medicaid0221548OH

Accepted 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. Kenneth Douglas Pugar 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 ID9234368333
PECOS Enrollment IDI20170526001569
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 16

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
6,700 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
119 services118 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
59 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services46 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
41 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360175
Location610 West Main StreetWilmington, OH 45177 · Clinton County
Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361332
Location1275 North High StreetHillsboro, OH 45133 · Highland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45405 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Reported Quality Measures

Advance Care Plan
81%280 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
34%128 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
11%311 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
84%94 patients4/55-star benchmark: 91%
Dementia: Cognitive Assessment
41%22 patients
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
96%49 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%578 patients5/55-star benchmark: 100%
e-Prescribing
99%260 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
55%277 patients3/55-star benchmark: 100%
HIV Screening
1%281 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%540 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
26%451 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%467 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 318 patients
Patients screened: 100% · 318 patients
13%31 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
75%198 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%147 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 281 patients
Patients totalRate: 8% · 284 patients
4%284 patients4/55-star benchmark: 100%
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 20

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

Emergency Medicine
405 W GRAND AVE
DAYTON, OH 45405
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Emergency Medicine
405 W GRAND AVE
DAYTON, OH 45405
Obstetrics & Gynecology
405 W GRAND AVE
DAYTON, OH 45405
Nurse Anesthetist, Certified Registered
405 W GRAND AVE
DAYTON, OH 45405
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Internal Medicine
405 W GRAND AVE, C/O MEDICAL EDUCATION
DAYTON, OH 45405

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 Kenneth Pugar's NPI number?

The NPI number for Kenneth Pugar is 1174961874. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Kenneth Pugar located?

Kenneth Pugar practices at 405 W Grand Ave, Dayton, OH 45405. The listed phone number is (937) 723-3564.

What is Kenneth Pugar's specialty?

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

Is Kenneth Pugar enrolled in Medicare?

Yes. Kenneth Pugar 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 Kenneth Pugar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Kenneth Pugar 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 Kenneth Pugar affiliated with any hospitals?

According to CMS data, Kenneth Pugar is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Clinton Memorial Hospital, Soin Medical Center and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Pugar was last updated on July 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.