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DOUGLAS ROBERT GUGGER MD
NPI 1457470429
Anesthesiology - Pain Medicine in Philadelphia, PA

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
1840 SOUTH ST STE 2, PHILADELPHIA, PA 19146(215) 893-7246(215) 243-4615 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 24, 2019, Apr 2, 2019, Dec 19, 2016 and 1 more (4 updates tracked since 2016).

About Douglas Robert Gugger Md NPPES

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

DOUGLAS ROBERT GUGGER MD (NPI 1457470429) is an individual pain medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD451343) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Temple University School Of Medicine (2007).

NPPES Registry Identity

NPI1457470429
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDOUGLAS ROBERT GUGGERCredential: MD
Location Address1840 SOUTH ST STE 2Philadelphia, PA 19146-7422
Mailing Address1840 South St Ste 2Philadelphia, PA 19146-7422 · (215) 893-7246 · Fax (215) 243-4615
Phone(215) 893-7246
Fax(215) 243-4615
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2007
Enumeration DateMarch 28, 2007
Last NPPES UpdateOctober 24, 20194 updates tracked since enumeration
✔ NPI 1457470429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in PA · MD451343
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License MD451343 (PA)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License MD451343 (PA)
1840 SOUTH ST STE 2, Philadelphia, PA 19146
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas Robert Gugger 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 ID7416269576
PECOS Enrollment IDI20150701001771
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 Douglas Gugger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn-Medical Group
0.1 mi
Physical Medicine & Rehabilitation
1800 LOMBARD ST, GROUND FLOOR
Philadelphia, PA 19146
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1760870893 (215) 893-2600
SE Pain Management, Ltd
16 mi
Specialist
508 PRUDENTIAL RD STE 500
Horsham, PA 19044
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 17 clinicians in this Medicare group
NPI 1396747531 (215) 277-5888

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

Areas of Expertise CMS Part B claims 11

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 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.
162 services105 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 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.
40 services32 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
36 services30 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
35 services28 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
28 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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 Gugger's NPI number?

The NPI number for Douglas Gugger is 1457470429. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Douglas Gugger located?

Douglas Gugger practices at 1840 South St Ste 2, Philadelphia, PA 19146. The listed phone number is (215) 893-7246.

What is Douglas Gugger's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Douglas Gugger enrolled in Medicare?

Yes. Douglas Gugger 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.

Which organizations bill Medicare for Douglas Gugger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Gugger reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Philadelphia, PA) and SE Pain Management, Ltd (Horsham, PA). 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 Douglas Gugger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Douglas Gugger affiliated with any hospitals?

According to CMS data, Douglas Gugger is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Gugger was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.