MICHAEL JOSEPH SHUGAR MD
NPI 1861497463
Emergency Medicine in Lafayette, IN

Active since June 20, 2005PECOS Enrolled
97.58/100
CMS Quality Rating
5165 MCCARTY LN, LAFAYETTE, IN 47905(765) 448-8000(317) 838-4751 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2024, Mar 13, 2023, Aug 7, 2019 and 1 more (4 updates tracked since 2019).

About Michael Joseph Shugar Md NPPES

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

MICHAEL JOSEPH SHUGAR MD (NPI 1861497463) is an individual emergency medicine provider in Lafayette, Indiana, licensed in Nevada (16777) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861497463
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL JOSEPH SHUGARCredential: MD
Location Address5165 MCCARTY LNLafayette, IN 47905-8764
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(317) 838-4751
Sole ProprietorNo
Enumeration DateJune 20, 2005
Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1861497463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NV · 16777✔ Licensed in IN · 01057154A✔ Licensed in OH · 35072084
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.
5165 MCCARTY LN, Lafayette, IN 47905

Secondary Practice Locations 3

Location 13131 Queen City AveCincinnati, OH 45238-2316 · Phone (513) 557-3333 · Fax (513) 557-3332
Location 23535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500
Location 33535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-8166

Other Identifiers 4

Medicaid2068935OH
Other264430F05IN · Medicare
Medicaid200219280IN
Medicaid6496214500KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Joseph Shugar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

10

Medicare enrollment records show Michael Shugar reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
395 WESTFIELD RD
Noblesville, IN 46060
  • Reassigned Medicare billing, Indiana enrollment
  • 303 clinicians in this Medicare group
Dietitian, Registered
1800 N CAPITOL AVE, B445
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
Emergency Medicine
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Indiana enrollment
  • 109 clinicians in this Medicare group
Emergency Medicine
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 277 clinicians in this Medicare group
Emergency Medicine
230 MEDICAL CENTER DR
Seaman, OH 45679
  • Reassigned Medicare billing, Ohio enrollment
  • 894 clinicians in this Medicare group
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
Emergency Medicine
50 W BROAD ST
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 474 clinicians in this Medicare group
Emergency Medicine
100 MEDICAL CENTER DRIVE
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 153 clinicians in this Medicare group
Emergency Medicine
260 HOSPITAL DR
South Williamson, KY 41503
  • Reassigned Medicare billing, Kentucky enrollment
  • 65 clinicians in this Medicare group
Emergency Medicine
7207 ALIANTE PARKWAY
North Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 304 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Registered Nurse (Obstetric, Inpatient)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Nurse Practitioner (Family)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Pathology (Anatomic Pathology & Clinical Pathology)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Internal Medicine (Critical Care Medicine)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Dietitian, Registered
5165 MCCARTY LN
LAFAYETTE, IN 47905
Nurse Practitioner (Family)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Emergency Medicine
5165 MCCARTY LN
LAFAYETTE, IN 47905
Anesthesiology
5165 MCCARTY LN
LAFAYETTE, IN 47905

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 Michael Shugar's NPI number?

The NPI number for Michael Shugar is 1861497463. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Michael Shugar located?

Michael Shugar practices at 5165 Mccarty Ln, Lafayette, IN 47905. The listed phone number is (765) 448-8000.

What is Michael Shugar's specialty?

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

Is Michael Shugar enrolled in Medicare?

Yes. Michael Shugar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Shugar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Shugar reassigns Medicare benefits to 10 organizations: Riverview Hospital (Noblesville, IN), Indiana University Health Care Associates, Inc. (Indianapolis, IN), Indiana Emergency Professionals PC (Lawrenceburg, IN), Mercy Emergency Care Services, Inc. (Toledo, OH), Emergency Professional Services, Inc. (Seaman, OH) and 5 more organizations, listed in the Medicare section above. 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 Michael Shugar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Shugar accept?

Health plans from CareSource list Michael Shugar 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 Michael Shugar was last updated on August 22, 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.