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DR. GREG EDWARD CUGINI M.D.
NPI 1245479419
Pediatrics in Cape Girardeau, MO

Active since February 11, 2009PECOS Enrolled
25 DOCTORS PARK, CAPE GIRARDEAU, MO 63701(573) 331-6750 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Greg Edward Cugini M.d. NPPES

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

DR. GREG EDWARD CUGINI M.D. (NPI 1245479419) is an individual pediatrics provider in Cape Girardeau, Missouri, licensed in Virginia (0101277842) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Virginia Beach.

NPPES Registry Identity

NPI1245479419
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. GREG EDWARD CUGINICredential: M.D.
Location Address25 DOCTORS PARKCape Girardeau, MO 63701
Mailing Address25 Doctors ParkCape Girardeau, MO 63703-4927 · (573) 331-6750
Phone(573) 331-6750
Sole ProprietorNo
Enumeration DateFebruary 11, 2009
Last NPPES UpdateMarch 15, 2023
NPPES CertifiedMarch 15, 2023
✔ NPI 1245479419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in VA · 0101277842✔ Licensed in MO · 2010005696
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.
25 DOCTORS PARK, Cape Girardeau, MO 63701
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Other Names 1

Other Name (5)Dr. Greg E Cugini

Secondary Practice Location 1

Location 11950 Glenn Mitchell Dr Ste 310Virginia Beach, VA 23456-0019 · Phone (757) 507-0255 · Fax (757) 275-9880

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Greg Edward Cugini M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Greg Cugini reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeast Missouri Hospital Physicians, LLC
2.1 mi
Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group
NPI 1558311522 (573) 331-6880
Sentara Medical Group
739 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63701 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Greg Cugini's NPI number?

The NPI number for Greg Cugini is 1245479419. It was assigned to this individual provider in the NPPES registry on February 11, 2009. The provider is also known as Dr. Greg E Cugini.

Where is Greg Cugini located?

Greg Cugini practices at 25 Doctors Park, Cape Girardeau, MO 63701. The listed phone number is (573) 331-6750.

What is Greg Cugini's specialty?

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

Is Greg Cugini enrolled in Medicare?

Yes. Greg Cugini is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Greg Cugini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Greg Cugini reassigns Medicare benefits to 2 organizations: Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO) and Sentara Medical Group (Norfolk, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Greg Cugini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Greg Cugini accept?

Health plans from Anthem Blue Cross and Blue Shield list Greg Cugini 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 Greg Cugini was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.