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ANTHONY JOHN STUGAN M.D.
NPI 1700800844
Internal Medicine in Somerset, KY

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
350 HOSPITAL WAY, SUITE 100, SOMERSET, KY 42503(606) 451-2629(606) 451-2641 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anthony John Stugan M.d. NPPES

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

ANTHONY JOHN STUGAN M.D. (NPI 1700800844) is an individual internal medicine provider in Somerset, Kentucky, licensed in Kentucky (34567) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (1993).

NPPES Registry Identity

NPI1700800844
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANTHONY JOHN STUGANCredential: M.D.
Location Address350 HOSPITAL WAY, SUITE 100Somerset, KY 42503-2872
Mailing Address350 Hospital WaySomerset, KY 42503-2872 · (606) 451-2628 · Fax (606) 451-2630
Phone(606) 451-2629
Fax(606) 451-2641
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1993
Enumeration DateJuly 26, 2006
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1700800844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 34567
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
350 HOSPITAL WAY, Somerset, KY 42503
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Other Identifiers 2

Other000000054063Anthem
Medicaid64345671KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Anthony John Stugan M.d. 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 ID2365538865
PECOS Enrollment IDI20071015000174
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.

Hospital Affiliations CMS Care Compare

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers27 claims45 services$5.45 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims58 services$3.01 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 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
6 suppliers36 claims36 services$108.72 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 20

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

DR. AMR OSMAN EL-NAGGAR M.D.
Neurological Surgery
350 HOSPITAL WAY, SUITE 270
SOMERSET, KY 42503
Pulaski County (606) 678-9617
MR. RAINER ALLEN OLIVER DO
Internal Medicine
350 HOSPITAL WAY, SUITE 101
SOMERSET, KY 42503
Pulaski County (606) 451-5093
DAVID M REILLY M.D.
Family Medicine
350 HOSPITAL WAY, SUITE 100
SOMERSET, KY 42503
Pulaski County (606) 451-2601
JOSEPH G WEIGEL M.D.
Internal Medicine
350 HOSPITAL WAY, SUITE 100
SOMERSET, KY 42503
Pulaski County (606) 451-2629
MISS SUSAN MICHELE PELL ATC, PA-C
Physician Assistant
350 HOSPITAL WAY, SUITE 100
SOMERSET, KY 42503
Pulaski County (606) 451-2628
LAKE CUMBERLAND REGIONAL HOSPITAL, LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
350 HOSPITAL WAY, SUITE 220
SOMERSET, KY 42503
Pulaski County (606) 451-0300
LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Internal Medicine (Pulmonary Disease)
350 HOSPITAL WAY, SUITE 250
SOMERSET, KY 42503
Pulaski County (606) 678-0171
RICHARD F ATKINSON
Student in an Organized Health Care Education/Training Program
350 HOSPITAL WAY
SOMERSET, KY 42503
Pulaski County (630) 291-6874

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 Anthony Stugan's NPI number?

The NPI number for Anthony Stugan is 1700800844. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Anthony Stugan located?

Anthony Stugan practices at 350 Hospital Way Suite 100, Somerset, KY 42503. The listed phone number is (606) 451-2629.

What is Anthony Stugan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anthony Stugan enrolled in Medicare?

Yes. Anthony Stugan 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 Anthony Stugan accept?

Health plans from CareSource list Anthony Stugan 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 Anthony Stugan affiliated with any hospitals?

According to CMS data, Anthony Stugan is affiliated with Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Stugan was last updated on March 26, 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.