Kristopher R. Pugh, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01063922A Issued in IN

Practice address

302 W 14TH St Ste 100a
Jeffersonville, IN 47130-3751

Phone

(812) 284-0660

Fax

(812) 284-3822

NPI assigned

Mar 16, 2007

Last updated

Oct 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Indiana University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Southern Indiana PCGroup PAC ID 4183688310, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.8 of 100Reported as group

Quality

93.82

Promoting interoperability

100

Improvement activities

40

Cost

78.84

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpugh@yourcarecommunity.org
• Direct secure messaging: kristopher.pugh.md@direct.have2020.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Associates of Southern Indiana PC

  • Ophthalmology Physician
  • Jeffersonville, IN
  • NPI 1336219922

  KY

  Medicare reassignment Care Compare group
• Eye Associates of Southern Indiana PC

  dba Eye Care For Kentucky

  • Eyewear Supplier
  • Frankfort, KY
  • NPI 1073533865
  Authorized official Same address or phone
• Eye Associates of Southern Indiana PC

  dba Frankfort Vision Center

  • Optometrist
  • Frankfort, KY
  • NPI 1962533851
  Authorized official Same address or phone
• Vision Surgical Center at Springhill PSC

  • Ambulatory Surgical Clinic/Center
  • Jeffersonville, IN
  • NPI 1518922541
  NPD
• Eye Associates of Southern Indiana PC

  • Durable Medical Equipment & Medical Supplies
  • New Albany, IN
  • NPI 1083607592

  Ophthalmology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1194859389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 14TH ST STE 100A",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303751",
            "telephone_number": "812-284-0660",
            "fax_number": "812-284-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 14TH ST STE 100A",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303751",
            "telephone_number": "812-284-0660",
            "fax_number": "812-284-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "KRISTOPHER",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01063922A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristopher.pugh.md@direct.have2020.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "302 W 14th St Ste 100A",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lacey Probus, RBT
• Prorehab Louisville, LLC (ProRehab Physical Therapy)
• Proscan Imaging of Jeffersonville, LLC (ProScan Imaging Jeffersonville)
• Prospect Health and Community LLC
• Jessica Lyn Pugh, OD
• Sharon Pullen
• Sarah Purlee, APRN
• Quinco Consulting Center Inc (Quinco Behavioral Health Systems)
• Elizabeth A Quinkert, CNM
• Breanna Raddish, RBT

• Ophthalmology Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.