DR. KEVIN PUGH OD
NPI 1568845097
Optometrist in Mesa, AZ

Active since July 01, 2015PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
1055 S STAPLEY DR, MESA, AZ 85204(480) 833-9100(480) 833-6000 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2021, Jan 3, 2017 (2 updates tracked since 2017).

About Dr. Kevin Pugh Od NPPES

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

DR. KEVIN PUGH OD (NPI 1568845097) is an individual optometrist in Mesa, Arizona, licensed in Arizona (2054) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568845097
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEVIN PUGHCredential: OD
Location Address1055 S STAPLEY DRMesa, AZ 85204
Mailing Address4800 N 22nd St Ste 210Phoenix, AZ 85016-4963 · (480) 892-8400 · Fax (602) 508-4830
Fax(480) 833-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 1, 2015
Last NPPES UpdateFebruary 23, 20242 updates tracked since enumeration
NPPES CertifiedMay 17, 2021
NPI 1568845097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in AZ · 2054
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1055 S STAPLEY DR, Mesa, AZ 85204

Secondary Practice Location 1

Location 11055 S Stapley DrMesa, AZ 85204-5098 · Phone (480) 833-9100 · Fax (602) 508-4830

Other Identifiers 1

Medicaid032451AZ

Accepted 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. Kevin Pugh Od 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 ID5193038305
PECOS Enrollment IDI20150716003071
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 8

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 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.
667 services518 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
229 services221 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.
125 services123 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.
123 services123 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
102 services95 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
96 services93 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost58.84

Other Providers at the Same Location NPPES 13

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

Optometrist
1055 S STAPLEY DR
MESA, AZ 85204
Specialist/Technologist, Other (Surgical Technologist)
1055 S STAPLEY DR
MESA, AZ 85204
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1055 S STAPLEY DR
MESA, AZ 85204
Optometrist
1055 S STAPLEY DR
MESA, AZ 85204
Nurse Anesthetist, Certified Registered
1055 S STAPLEY DR
MESA, AZ 85204
Nurse Anesthetist, Certified Registered
1055 S STAPLEY DR
MESA, AZ 85204
Clinic/Center (Ophthalmologic Surgery)
1055 S STAPLEY DR
MESA, AZ 85204
Ophthalmology
1055 S STAPLEY DR
MESA, AZ 85204

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 Kevin Pugh's NPI number?

The NPI number for Kevin Pugh is 1568845097. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Kevin Pugh located?

Kevin Pugh practices at 1055 S Stapley Dr, Mesa, AZ 85204. The listed phone number is (480) 833-9100.

What is Kevin Pugh's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kevin Pugh enrolled in Medicare?

Yes. Kevin Pugh 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 Kevin Pugh accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Imperial Insurance Companies, Inc. and 3 other insurers list Kevin Pugh 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.

When was this NPI record last updated?

The NPPES record for Kevin Pugh was last updated on February 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.