1. Home
  2. Directory
  3. Pennsylvania
  4. Punxsutawney
  5. Internal Medicine
  6. NPI Profile

DR. KENNETH K FUGATE M.D.
NPI 1376530386
Internal Medicine in Punxsutawney, PA

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
525 N MAIN ST, PUNXSUTAWNEY, PA 15767(814) 938-7933(814) 938-9872 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth K Fugate M.d. NPPES

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

DR. KENNETH K FUGATE M.D. (NPI 1376530386) is an individual internal medicine provider in Punxsutawney, Pennsylvania, licensed in Pennsylvania (MD039731L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Punxsutawney Area Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1376530386
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENNETH K FUGATECredential: M.D.
Location Address525 N MAIN STPunxsutawney, PA 15767-2581
Mailing Address525 N Main StPunxsutawney, PA 15767-2581 · (814) 938-7933 · Fax (814) 938-9872
Phone(814) 938-7933
Fax(814) 938-9872
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 4, 2005
Last NPPES UpdateNovember 25, 2009
✔ NPI 1376530386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD039731L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
525 N MAIN ST, Punxsutawney, PA 15767
Open in Google Maps ↗

Other Identifiers 12

Other126846PA · Blue Shield Group #
Other211751PA · Upmc
Other251819235PA · Commerical Insurances
Other003158PA · Blue Shield Individual #
Other3733PA · Healtheon/healthamerica
Medicare UPINB29893PA
Medicare PIN003158PA
Other251819235001PA · Tricare
Medicaid0010556490006PA
OtherP0000958PA · Gateway
Other010053900PA · Black Lung
Medicare PIN110173747PA

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

Dr. Kenneth K Fugate 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 ID8921993148
PECOS Enrollment IDI20050505000290
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 3

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.

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.
204 services84 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 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.
36 services18 patients

Hospital Affiliations CMS Care Compare

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

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390199
Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15767 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers38 claims66 services$6.18 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers14 claims68 services$2.62 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$18.90 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
2 suppliers16 claims16 services$7.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$104.35 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

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

KENNETH K. FUGATE, M.D.
Internal Medicine
525 N MAIN ST
PUNXSUTAWNEY, PA 15767
Jefferson County (814) 938-7933

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 Kenneth Fugate's NPI number?

The NPI number for Kenneth Fugate is 1376530386. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Kenneth Fugate located?

Kenneth Fugate practices at 525 N Main St, Punxsutawney, PA 15767. The listed phone number is (814) 938-7933.

What is Kenneth Fugate's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Fugate enrolled in Medicare?

Yes. Kenneth Fugate 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 Kenneth Fugate affiliated with any hospitals?

According to CMS data, Kenneth Fugate is affiliated with Punxsutawney Area Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Fugate was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.