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TREVOR C. PUGH DO
NPI 1184165474
Preventive Medicine - Occupational Medicine in Green Bay, WI

Active since March 20, 2017PECOS Enrolled
1160 KEPLER DR, GREEN BAY, WI 54311(833) 986-2170 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 16, 2022, Jul 28, 2022, Aug 21, 2020 and 1 more (4 updates tracked since 2017).

About Trevor C. Pugh Do NPPES

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

TREVOR C. PUGH DO (NPI 1184165474) is an individual occupational medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (22534) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184165474
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameTREVOR C. PUGHCredential: DO
Location Address1160 KEPLER DRGreen Bay, WI 54311-8321
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(833) 986-2170
Sole ProprietorNo
Enumeration DateMarch 20, 2017
Last NPPES UpdateJuly 14, 20254 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1184165474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
Licenses✔ Licensed in WI · 22534✔ Licensed in UT · 11899060-1204
Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

1160 KEPLER DR, Green Bay, WI 54311
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1391 S Chipeta Way Ste CSalt Lake City, UT 84108-1294 · Phone (801) 581-4800
Location 23237 Voyager DrGreen Bay, WI 54311-8349 · Phone (920) 468-8288

Other Identifiers 1

Medicaid100205995WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trevor C. Pugh Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

ABIGAIL DOBBINS SLP
Speech-Language Pathologist
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-4700
DR. KATIE ROLLIN PSY.D.
Psychologist (Clinical)
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-5500
ANGELINA COLEMAN OT
Occupational Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-5400
MARTIN A JACOBSON DC
Chiropractor
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-5656
JEFFRY JAMES YOUNG DO
Pediatrics
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-5500
CHRISTINA ANNE MARIEN
Nurse Practitioner (Psychiatric/Mental Health)
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 278-1294
BAYCARE CLINIC LLP
Orthopaedic Surgery
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-5555
TAYLOR A KROLL PT, DPT
Physical Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-5400

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 Trevor Pugh's NPI number?

The NPI number for Trevor Pugh is 1184165474. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Trevor Pugh located?

Trevor Pugh practices at 1160 Kepler Dr, Green Bay, WI 54311. The listed phone number is (833) 986-2170.

What is Trevor Pugh's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Trevor Pugh enrolled in Medicare?

Yes. Trevor Pugh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trevor Pugh was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.