KRISTOPHER R. PUGH M.D.
NPI 1194859389
Ophthalmology in Jeffersonville, IN

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
78.35/100
CMS Quality Rating
302 W 14TH ST STE 100A, JEFFERSONVILLE, IN 47130(812) 284-0660(812) 284-3822 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristopher R. Pugh M.d. NPPES

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

KRISTOPHER R. PUGH M.D. (NPI 1194859389) is an individual ophthalmology provider in Jeffersonville, Indiana, licensed in Indiana (01063922A) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2003).

NPPES Registry Identity

NPI1194859389
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKRISTOPHER R. PUGHCredential: M.D.
Location Address302 W 14TH ST STE 100AJeffersonville, IN 47130-3751
Mailing Address302 W 14th St Ste 100aJeffersonville, IN 47130-3751 · (812) 284-0660 · Fax (812) 284-3822
Fax(812) 284-3822
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2003
Enumeration DateMarch 16, 2007
Last NPPES UpdateOctober 23, 2020
NPPES CertifiedOctober 20, 2020
NPI 1194859389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 01063922A
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
302 W 14TH ST STE 100A, Jeffersonville, IN 47130

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

Kristopher R. Pugh M.d. 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 ID2264532712
PECOS Enrollment IDI20070712000405, I20071110000028
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 15

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
1,031 services364 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
786 services429 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
357 services347 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
165 services105 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
145 services145 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.
108 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47130 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

78.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.06
Promoting Interoperability100
Improvement Activities40
Cost28.78

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
6 suppliers11 claims11 services$53.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Optometrist
302 W 14TH ST STE 100A
JEFFERSONVLLE, IN 47130
Ophthalmology
302 W 14TH ST STE 100A
JEFFERSONVILLE, IN 47130
Ophthalmology
302 W 14TH ST STE 100A
JEFFERSONVILLE, IN 47130

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 Kristopher Pugh's NPI number?

The NPI number for Kristopher Pugh is 1194859389. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Kristopher Pugh located?

Kristopher Pugh practices at 302 W 14th St Ste 100A, Jeffersonville, IN 47130. The listed phone number is (812) 284-0660.

What is Kristopher Pugh's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kristopher Pugh enrolled in Medicare?

Yes. Kristopher 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 Kristopher Pugh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Kristopher 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 Kristopher Pugh was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.