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DOUGLAS EUGENE PUGMIRE D.O.
NPI 1427003334
Obstetrics & Gynecology - Gynecologic Oncology in Rochester Hills, MI

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
1901 STAR BATT DR, SUITE 200, ROCHESTER HILLS, MI 48309(248) 844-4072(248) 844-4072 Get Directions Write a Review

NPPES record last updated: August 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas Eugene Pugmire D.o. NPPES

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

DOUGLAS EUGENE PUGMIRE D.O. (NPI 1427003334) is an individual gynecologic oncology provider in Rochester Hills, Michigan, licensed in Michigan (5101013693) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1990).

NPPES Registry Identity

NPI1427003334
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDOUGLAS EUGENE PUGMIRECredential: D.O.
Location Address1901 STAR BATT DR, SUITE 200Rochester Hills, MI 48309-3712
Mailing Address1901 Star Batt Drive, Suite 200Rochester Hills, MI 48309 · (248) 844-4042 · Fax (248) 844-4072
Phone(248) 844-4072
Fax(248) 844-4072
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1990
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 1, 2017
✔ NPI 1427003334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in MI · 5101013693
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
1901 STAR BATT DR, Rochester Hills, MI 48309
Open in Google Maps ↗

Other Identifiers 5

Other1653301685MI · Blue Cross Blue Shield
Other200000015991MI · Phpmm
Medicare UPING56659MI
Medicare PIN0N80370001MI
Medicaid114258903MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Douglas Eugene Pugmire D.o. 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 ID345141974
PECOS Enrollment IDI20040127001072
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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
144 services76 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 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.
23 services23 patients
Release of scar tissue at ureter 50715
This procedure involves removing scar tissue from a tube in your body that carries liquid waste from your kidneys to your bladder. Scar tissue can block this tube, causing discomfort and health issues. The goal is to restore normal function and alleviate any symptoms.
20 services20 patients
Removal of uterus, cervix, and lymph nodes of pelvis with biopsy of aortic lymph node using an endoscope 58548
This procedure involves the removal of two major organs and nearby tissue, with a sample taken from a node near the heart. An endoscope, a small camera, helps the surgeon see inside the body. This is done to prevent or treat certain health conditions.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230207
Location50 N Perry StPontiac, MI 48342 · Oakland County
Emergency services

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48309 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
77%348 patients4/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%647 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%311 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
24%673 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%628 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%673 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
51%673 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
49%673 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

UNITED DIAGNOSTICS PLLC
Radiology (Diagnostic Radiology)
1901 STAR BATT DR
ROCHESTER HILLS, MI 48309
Oakland County (248) 844-5690
LEAH S MCLEAN MSW
Social Worker (Clinical)
1901 STAR BATT DR, SUITE 200
ROCHESTER HILLS, MI 48309
Oakland County (248) 844-5690
MICHIGAN RADIATION NETWORK
Radiology (Radiation Oncology)
1901 STAR BATT DR, SUITE 200
ROCHESTER HILLS, MI 48309
Oakland County (248) 844-5690
GWEN MARIE COLORITO MSW
Social Worker (Clinical)
1901 STAR BATT DR, SUITE 200
ROCHESTER HILLS, MI 48309
Oakland County (248) 844-5690
DR. MARK JAY FIREMAN M.D.
Radiology (Radiation Oncology)
1901 STAR BATT DR
ROCHESTER HILLS, MI 48309
Oakland County (248) 844-4000
DR. FARID T FATA M.D.
Internal Medicine (Hematology & Oncology)
1901 STAR BATT DR, SUITE 200
ROCHESTER HILLS, MI 48309
Oakland County (248) 844-5690
SHARON MEYER RD
Dietitian, Registered
1901 STAR BATT DR, SUITE 200
ROCHESTER HILLS, MI 48309
Oakland County (248) 844-5690
MR. DAVID J DEBONO MD
Internal Medicine (Hematology & Oncology)
1901 STAR BATT DR, SUITE 200
ROCHESTER HILLS, MI 48309
Oakland County (248) 844-5690

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 Douglas Pugmire's NPI number?

The NPI number for Douglas Pugmire is 1427003334. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Douglas Pugmire located?

Douglas Pugmire practices at 1901 Star Batt Dr Suite 200, Rochester Hills, MI 48309. The listed phone number is (248) 844-4072.

What is Douglas Pugmire's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Douglas Pugmire enrolled in Medicare?

Yes. Douglas Pugmire 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 Douglas Pugmire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Douglas Pugmire 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.

Is Douglas Pugmire affiliated with any hospitals?

According to CMS data, Douglas Pugmire is affiliated with Trinity Health Oakland Hospital, Henry Ford Macomb Hospital, Mclaren Oakland, Ascension Providence Rochester Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Douglas Pugmire was last updated on August 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.