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MABLENE BUGGS M.D.
NPI 1821092214
Emergency Medicine in Saint Louis, MO

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2620 S 13TH ST, SAINT LOUIS, MO 63118(314) 534-0043(314) 909-0330 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mablene Buggs M.d. NPPES

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

MABLENE BUGGS M.D. (NPI 1821092214) is an individual emergency medicine provider in Saint Louis, Missouri, licensed in Illinois (036-085587) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Washington University School Of Medicine (1988).

NPPES Registry Identity

NPI1821092214
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMABLENE BUGGSCredential: M.D.
Location Address2620 S 13TH STSaint Louis, MO 63118-1838
Mailing Address2620 S 13th StSaint Louis, MO 63118-1838 · (314) 534-0043 · Fax (314) 909-0330
Phone(314) 534-0043
Fax(314) 909-0330
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1988
Enumeration DateJune 13, 2005
Last NPPES UpdateNovember 2, 2009
✔ NPI 1821092214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036-085587
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2620 S 13TH ST, Saint Louis, MO 63118
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Other Identifiers 10

Medicare PIN214881028IL
Other3932056IL · Blue Shield
Medicare PIN029013209MO
Medicaid1821092214MO
Medicare PINK30247IL
Other06032182IL · Blue Cross Blue Shield
Medicaid036085587IL
Medicare ID-Type UnspecifiedK09444/818070IL
Medicaid202943346MO
Medicare UPINF21459IL

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

Mablene Buggs 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 ID6709874084
PECOS Enrollment IDI20040505000143, I20051221000106
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

5

Medicare enrollment records show Mablene Buggs reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cepamerica Illinois LLP
11 mi
Emergency Medicine
4500 MEMORIAL DR
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1992082689 (618) 233-7750
Southeastern Emergency Physicians Of Memphis LLC
21 mi
Emergency Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Missouri enrollment
  • 343 clinicians in this Medicare group
NPI 1437105277 (618) 463-7474
Statera Health Care, LLC
108 mi
Emergency Medicine
100 DR WARREN TUTTLE DR
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 169 clinicians in this Medicare group
NPI 1043874449 (618) 833-1691
App Of Illinois Ed PLLC
289 mi
Emergency Medicine
1324 N SHERIDAN RD
Waukegan, IL 60085
  • Reassigned Medicare billing, Illinois enrollment
  • 91 clinicians in this Medicare group
NPI 1053860080 (847) 360-6930
Integritas Emergency Physician Services LLC
  • Reassigned Medicare billing, Illinois enrollment
  • 208 clinicians in this Medicare group
No phone listed

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
514 services477 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
133 services131 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Missouri Baptist Sullivan Hospital

Critical Access Hospitals · Sullivan, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number261337
Location751 Sappington Bridge RdSullivan, MO 63080 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63118 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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 Mablene Buggs's NPI number?

The NPI number for Mablene Buggs is 1821092214. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Mablene Buggs located?

Mablene Buggs practices at 2620 S 13th St, Saint Louis, MO 63118. The listed phone number is (314) 534-0043.

What is Mablene Buggs's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mablene Buggs enrolled in Medicare?

Yes. Mablene Buggs 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 Mablene Buggs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mablene Buggs reassigns Medicare benefits to 5 organizations: Cepamerica Illinois LLP (Belleville, IL), Southeastern Emergency Physicians Of Memphis LLC (Alton, IL), Statera Health Care, LLC (Harrisburg, IL), App Of Illinois Ed PLLC (Waukegan, IL) and Integritas Emergency Physician Services LLC (IL). 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 Mablene Buggs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mablene Buggs affiliated with any hospitals?

According to CMS data, Mablene Buggs is affiliated with St Josephs Hospital, Hshs St Elizabeth's Hospital, St Joseph's Hospital and Missouri Baptist Sullivan Hospital.

When was this NPI record last updated?

The NPPES record for Mablene Buggs was last updated on November 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.