DR. DAVID M. PUGLIESE D.O.
NPI 1548225543
Internal Medicine - Rheumatology in Wilkes Barre, PA

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
675 BALTIMORE DR, WILKES BARRE, PA 18702(570) 808-6111(570) 808-6348 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. David M. Pugliese D.o. NPPES

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

DR. DAVID M. PUGLIESE D.O. (NPI 1548225543) is an individual rheumatology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OS011870) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2000).

NPPES Registry Identity

NPI1548225543
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. DAVID M. PUGLIESECredential: D.O.
Location Address675 BALTIMORE DRWilkes Barre, PA 18702-7900
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Fax(570) 808-6348
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2000
Enumeration DateApril 20, 2006
Last NPPES UpdateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1548225543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in PA · OS011870
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
675 BALTIMORE DR, Wilkes Barre, PA 18702

Other Identifiers 1

Medicaid001954892PA

Accepted Insurance

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

Dr. David M. Pugliese 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 ID4880620772
PECOS Enrollment IDI20050712000884
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 David Pugliese reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
Internal Medicine
255 ROUTE 220 HIGHWAY
Muncy, PA 17756
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,405 clinicians in this Medicare group

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 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 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.
239 services190 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
94 services47 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.
90 services80 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.
69 services50 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.
37 services37 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.
20 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger-Bloomsburg Hospital

Acute Care Hospitals · Bloomsburg, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390003
Location549 East Fair StreetBloomsburg, PA 17815 · Columbia County
Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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.

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.

Dentist (Oral and Maxillofacial Surgery)
675 BALTIMORE DR
WILKES BARRE, PA 18702
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Nurse Practitioner (Adult Health)
675 BALTIMORE DR
WILKES BARRE, PA 18702
Optometrist
675 BALTIMORE DR
WILKES BARRE, PA 18702
Nurse Practitioner
675 BALTIMORE DR
WILKES BARRE, PA 18702
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Internal Medicine (Rheumatology)
675 BALTIMORE DR
WILKES BARRE, PA 18702

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 David Pugliese's NPI number?

The NPI number for David Pugliese is 1548225543. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is David Pugliese located?

David Pugliese practices at 675 Baltimore Dr, Wilkes Barre, PA 18702. The listed phone number is (570) 808-6111.

What is David Pugliese's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is David Pugliese enrolled in Medicare?

Yes. David Pugliese 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 David Pugliese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Pugliese reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Wilkes Barre, PA) and Geisinger-Hm Joint Venture LLC (Muncy, 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 David Pugliese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Pugliese accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list David Pugliese 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 David Pugliese affiliated with any hospitals?

According to CMS data, David Pugliese is affiliated with Geisinger-Community Medical Center, Geisinger-Bloomsburg Hospital, Geisinger Medical Center, Geisinger-Lewistown Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for David Pugliese was last updated on August 19, 2020. 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.