JAMES K FUGATE JR. MD
NPI 1225148653
Pediatrics in Reinholds, PA

Q: What is James Fugate's NPI number?

The NPI number for James Fugate is 1225148653. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is James Fugate's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for James Fugate was last updated on March 27, 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.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

30 W SWARTZVILLE RD, REINHOLDS, PA 17569(717) 484-4347(717) 484-0968 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2023, Jan 9, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2015).

On this page

About James K Fugate Jr. Md NPPES

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

JAMES K FUGATE JR. MD (NPI 1225148653) is an individual pediatrics provider in Reinholds, Pennsylvania, licensed in Pennsylvania (MD053184-L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Hahnemann University College Of Medicine (1981).

NPPES Registry Identity

NPI1225148653

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJAMES K FUGATE JR.Credential: MD

Location Address30 W SWARTZVILLE RDReinholds, PA 17569-9641

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405

Phone(717) 484-4347

Fax(717) 484-0968

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1981

Enumeration DateAugust 30, 2006

Last NPPES UpdateMarch 27, 20245 updates tracked since enumeration

NPPES CertifiedMarch 27, 2024

✔ NPI 1225148653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD053184-L

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

30 W SWARTZVILLE RD, Reinholds, PA 17569

Open in Google Maps ↗

Secondary Practice Locations 4

Location 12221 NOLL DR, STE 2000LANCASTER, PA 17603-7610 · Phone (717) 715-1001 · Fax (717) 431-2321

Location 23045 Marietta AveLancaster, PA 17601-1321 · Phone (717) 898-2900 · Fax (717) 898-3275

Location 31401 Roosevelt AveYork, PA 17404-2244 · Phone (717) 356-6250

Location 4618 Cornwall Rd Ste 2Lebanon, PA 17042-7089 · Phone (717) 279-6700

Other Identifiers 2

Medicaid0014783040001PA

Other417574Highmark

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

James K Fugate Jr. 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 ID6406757749

PECOS Enrollment IDI20040119000564

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 17569 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 5

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

DAWA ZANGMU PALJOR SHERPA

Nurse Practitioner (Family)