DR. JACKSON CHARLES PUGH M.D.
NPI 1912345935
Family Medicine in Perryville, MO

Q: What is Jackson Pugh's NPI number?

The NPI number for Jackson Pugh is 1912345935. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Q: What is Jackson Pugh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Pugh was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment

434 N WEST ST, PERRYVILLE, MO 63775(573) 547-2536 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2021, Sep 13, 2020, Sep 1, 2020 (3 updates tracked since 2020).

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About Dr. Jackson Charles Pugh M.d. NPPES

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

DR. JACKSON CHARLES PUGH M.D. (NPI 1912345935) is an individual family medicine provider in Perryville, Missouri, licensed in Missouri (2020024607) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Saint Louis University School Of Medicine (2013).

NPPES Registry Identity

NPI1912345935

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACKSON CHARLES PUGHCredential: M.D.

Location Address434 N WEST STPerryville, MO 63775-1359

Mailing Address434 N West StPerryville, MO 63775-1359 · (573) 547-2536

Phone(573) 547-2536

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2013

Enumeration DateJune 12, 2013

Last NPPES UpdateJuly 16, 20253 updates tracked since enumeration

NPPES CertifiedJuly 16, 2025

✔ NPI 1912345935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2020024607

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

434 N WEST ST, Perryville, MO 63775

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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. Jackson Charles Pugh 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 ID5496057960

PECOS Enrollment IDI20201007001748

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 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.

82 services73 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.

69 services64 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260065

Location1235 E CherokeeSpringfield, MO 65804 · Greene County

Emergency services Birthing friendly

Mercy Hospital Perry

Critical Access Hospitals · Perryville, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number261311

Location434 North West StreetPerryville, MO 63775 · Perry County

Emergency services

Pike County Memorial Hospital

Critical Access Hospitals · Louisiana, MO

OwnershipGovernment - Local

CMS Certification Number261333

Location2305 West Georgia StreetLouisiana, MO 63353 · Pike County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63775 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

KAREN AROMANDO-WILLIAMS CRNA

Nurse Anesthetist, Certified Registered