GIRARD F DUGAN NP
NPI 1952595571
Nurse Practitioner - Adult Health in Westfield, MA

Active since August 28, 2007PECOS EnrolledAccepts Medicare Assignment
115 WEST SILVER STREET, 2ND FL, WESTFIELD, MA 01085(413) 572-6063(413) 562-4975 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2018, Nov 23, 2015 (2 updates tracked since 2015).

About Girard F Dugan Np NPPES

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

GIRARD F DUGAN NP (NPI 1952595571) is an individual adult health provider in Westfield, Massachusetts, licensed in Massachusetts (RN192151) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Baystate Noble Hospital, and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1952595571
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameGIRARD F DUGANCredential: NP
Location Address115 WEST SILVER STREET, 2ND FLWestfield, MA 01085
Mailing Address280 Chestnut Street, 2nd FlSpringfield, MA 01199-1001 · (413) 794-5000
Fax(413) 562-4975
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 28, 2007
Last NPPES UpdateJuly 23, 20182 updates tracked since enumeration
NPI 1952595571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in MA · RN192151 Licensed in CT · 006366
Also ListedNurse PractitionerTaxonomy 363L00000X · License 006366 (CT)
115 WEST SILVER STREET, Westfield, MA 01085

Secondary Practice Location 1

Location 180 Seymour Street, Hartford Hospital Surgery Dept.Hartford, CT 06102-5037 · Phone (860) 972-4670

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

Girard F Dugan Np 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 ID1850487778
PECOS Enrollment IDI20071023000444
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 7

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 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.
161 services146 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
94 services86 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.
44 services44 patients
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.
25 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
14 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01085 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 6

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

Emergency Medicine
115 WEST SILVER STREET
WESTFIELD, MA 01085
Emergency Medicine
115 WEST SILVER STREET
WESTFIELD, MA 01085
Family Medicine
115 WEST SILVER STREET
WESTFIELD, MA 01085
Nurse Practitioner (Psychiatric/Mental Health)
115 WEST SILVER STREET
WESTFIELD, MA 01085
Emergency Medicine
115 WEST SILVER STREET
WESTFIELD, MA 01085
Emergency Medicine
115 WEST SILVER STREET, BAYSTATE NOBLE HOSPITAL EMERGENCY DEPARTMENT
WESTFIELD, MA 01085

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 Girard Dugan's NPI number?

The NPI number for Girard Dugan is 1952595571. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Girard Dugan located?

Girard Dugan practices at 115 West Silver Street 2nd Fl, Westfield, MA 01085. The listed phone number is (413) 572-6063.

What is Girard Dugan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Girard Dugan enrolled in Medicare?

Yes. Girard Dugan 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.

Is Girard Dugan affiliated with any hospitals?

According to CMS data, Girard Dugan is affiliated with Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Girard Dugan was last updated on July 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.