JAMES ANDREW DUGAN MD
NPI 1275526899
Urology in Indianapolis, IN

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
21.53/100
CMS Quality Rating
8091 TOWNSHIP LINE RD, STE 109, INDIANAPOLIS, IN 46260(317) 802-9900(317) 802-9911 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Andrew Dugan Md NPPES

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

JAMES ANDREW DUGAN MD (NPI 1275526899) is an individual urology provider in Indianapolis, Indiana, licensed in Indiana (01051162A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of Indiana University School Of Medicine (1992).

NPPES Registry Identity

NPI1275526899
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJAMES ANDREW DUGANCredential: MD
Location Address8091 TOWNSHIP LINE RD, STE 109Indianapolis, IN 46260
Mailing Address8091 Township Line Rd, Ste 109Indianapolis, IN 46260 · (317) 802-9900 · Fax (317) 802-9911
Fax(317) 802-9911
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1992
Enumeration DateAugust 30, 2005
Last NPPES UpdateJune 24, 2010
NPI 1275526899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in IN · 01051162A
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

8091 TOWNSHIP LINE RD, Indianapolis, IN 46260

Other Identifiers 5

Medicare UPINF59483
Other000000203187IN · Anthem Bcbs
Other340019988IN · Rr Medicare
Medicaid200241710BIN
Medicare PIN234030

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 Andrew Dugan 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 ID8325021207
PECOS Enrollment IDI20040610001752
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 19

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
661 services423 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
412 services308 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.
303 services237 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
267 services190 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
196 services145 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
151 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Logansport, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150072
Location1101 Michigan AveLogansport, IN 46947 · Cass County
Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151310
Location10 John Kissinger DriveWabash, IN 46992 · Wabash County
Emergency services Birthing friendly

Dukes Memorial Hospital

Critical Access Hospitals · Peru, IN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number151318
Location275 W 12th StPeru, IN 46970 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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.

21.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality20
Cost25.11

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier20 claims2,621 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier20 claims2,544 services$1.43 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 13

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

Nurse Practitioner (Neonatal, Critical Care)
8091 TOWNSHIP LINE RD, SUITE 207
INDIANAPOLIS, IN 46260
Specialist
8091 TOWNSHIP LINE RD, SUITE 109
INDIANAPOLIS, IN 46260
Pediatrics
8091 TOWNSHIP LINE RD, #107
INDIANAPOLIS, IN 46260
Pediatrics (Neonatal-Perinatal Medicine)
8091 TOWNSHIP LINE RD, ST. VINCENT WOMEN'S HOSPITAL, SUITE 207 MOB
INDIANAPOLIS, IN 46260
Genetic Counselor, MS
8091 TOWNSHIP LINE RD, SUITE 108
INDIANAPOLIS, IN 46260
Genetic Counselor, MS
8091 TOWNSHIP LINE RD, SUITE 108
INDIANAPOLIS, IN 46260
Genetic Counselor, MS
8091 TOWNSHIP LINE RD, SUITE 108
INDIANAPOLIS, IN 46260
Genetic Counselor, MS
8091 TOWNSHIP LINE RD, #108
INDIANAPOLIS, IN 46260

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 James Dugan's NPI number?

The NPI number for James Dugan is 1275526899. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is James Dugan located?

James Dugan practices at 8091 Township Line Rd Ste 109, Indianapolis, IN 46260. The listed phone number is (317) 802-9900.

What is James Dugan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is James Dugan enrolled in Medicare?

Yes. James Dugan 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.

Is James Dugan affiliated with any hospitals?

According to CMS data, James Dugan is affiliated with Community Howard Regional Health Inc., Indiana University Health, Memorial Hospital, Parkview Wabash Hospital, Inc and Dukes Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Dugan was last updated on June 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.