NICHOLAS J DAWSON FUGATE DO
NPI 1477058071
Family Medicine in Pineville, KY

Q: What is Nicholas Fugate's NPI number?

The NPI number for Nicholas Fugate is 1477058071. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Nicholas Fugate's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Fugate was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

313 S CHERRY ST, PINEVILLE, KY 40977(606) 654-3338(606) 654-2273 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2022, Jun 23, 2021, Mar 26, 2018 (3 updates tracked since 2018).

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About Nicholas J Dawson Fugate Do NPPES

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

NICHOLAS J DAWSON FUGATE DO (NPI 1477058071) is an individual family medicine provider in Pineville, Kentucky, licensed in Kentucky (04947) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1477058071

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNICHOLAS J DAWSON FUGATECredential: DO

Location Address313 S CHERRY STPineville, KY 40977-1724

Mailing Address424 W Tennessee AvePineville, KY 40977-1438 · (606) 337-3223

Phone(606) 654-3338

Fax(606) 654-2273

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 26, 2018

Last NPPES UpdateFebruary 3, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1477058071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 04947

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

313 S CHERRY ST, Pineville, KY 40977

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Accepted Insurance

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

Nicholas J Dawson Fugate Do 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 ID1557767779

PECOS Enrollment IDI20210913003007

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 4

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

56 services27 patients

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.

20 services16 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

17 services11 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180020

Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County

Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180080

LocationOne Trillium WayCorbin, KY 40701 · Whitley County

Emergency services Birthing friendly

Pineville Community Health Center, Inc

Acute Care Hospitals · Pineville, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number180154

Location850 Riverview AvenuePineville, KY 40977 · Bell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40977 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier24 claims24 services$917.90 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

1 supplier55 claims56 services$114.13 avg. paid by Medicare

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823

DME-Wheelchairs · category DD009N

1 supplier12 claims12 services$192.43 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 5

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

ANDREA KAYE MILLER PMH-NP

Nurse Practitioner (Psychiatric/Mental Health)