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DR. KENNETH BRIAN PUGAR D.O.
NPI 1528060399
Psychiatry & Neurology - Neurology in Centerville, OH

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459(937) 439-6186(937) 439-9900 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2024, May 26, 2020, May 14, 2019 (3 updates tracked since 2019).

About Dr. Kenneth Brian Pugar D.o. NPPES

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

DR. KENNETH BRIAN PUGAR D.O. (NPI 1528060399) is an individual neurology provider in Centerville, Ohio, licensed in Ohio (34-00-4738-P) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1528060399
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. KENNETH BRIAN PUGARCredential: D.O.
Location Address1975 MIAMISBURG CENTERVILLE RDCenterville, OH 45459-3811
Mailing Address1975 Miamisburg Centerville RdCenterville, OH 45459-3811 · (937) 439-6186 · Fax (937) 439-9900
Phone(937) 439-6186
Fax(937) 439-9900
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1985
Enumeration DateAugust 11, 2005
Last NPPES UpdateJuly 3, 20243 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1528060399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in OH · 34-00-4738-P
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1975 MIAMISBURG CENTERVILLE RD, Centerville, OH 45459
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Secondary Practice Location 1

Location 1630 W Main St Ste 207Wilmington, OH 45177-2166 · Phone (937) 283-2570

Other Identifiers 2

Medicaid0742138OH
Other1528060399OH · Champus/tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Dr. Kenneth Brian Pugar 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 ID2163319930
PECOS Enrollment IDI20100520000672
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 7

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.

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.
102 services102 patients
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.
68 services64 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
50 services25 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.
42 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
37 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Reported Quality Measures

Advance Care Plan
76%512 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
51%206 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
8%421 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
91%57 patients5/55-star benchmark: 91%
Dementia: Cognitive Assessment
37%71 patients
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
90%69 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%868 patients5/55-star benchmark: 100%
e-Prescribing
97%184 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
52%503 patients3/55-star benchmark: 100%
HIV Screening
12%300 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%775 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
27%663 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
21%756 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 433 patients
Patients screened: 100% · 433 patients
13%38 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
56%263 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
67%147 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 515 patients
Patients totalRate: 3% · 519 patients
2%519 patients4/55-star benchmark: 100%
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 20

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

DR. TIMOTHY LEE SCHOONOVER D.O.
Psychiatry & Neurology (Neurology)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
RACHEL HURTUBISE PA-C
Physician Assistant
1975 MIAMISBURG CENTERVILLE RD
WASHINGTON TOWNSHIP, OH 45459
Montgomery County (937) 439-6186
CAMILLE ELIZABETH HUGHES PA-C
Physician Assistant (Medical)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
KIRSTEN M UPTON PA-C
Physician Assistant
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
MARTHA ELIZABETH BAUMANN
Nurse Practitioner
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
MEGAN MILLER FNP-C
Nurse Practitioner (Family)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
ANGELA SUE WRIGHT NP
Nurse Practitioner (Family)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
MS. KRISTI R KAEFF PA
Physician Assistant (Medical)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186

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 Pugar's NPI number?

The NPI number for Kenneth Pugar is 1528060399. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Kenneth Pugar located?

Kenneth Pugar practices at 1975 Miamisburg Centerville Rd, Centerville, OH 45459. The listed phone number is (937) 439-6186.

What is Kenneth Pugar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Kenneth Pugar enrolled in Medicare?

Yes. Kenneth Pugar 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 Kenneth Pugar accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Kenneth Pugar 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 Kenneth Pugar affiliated with any hospitals?

According to CMS data, Kenneth Pugar is affiliated with Miami Valley Hospital, Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Pugar was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.