NPIMap

Individual provider Active NPI

Michael Thomas Lugarich, PA-C

  • Surgical Physician Assistant
  • Wexford, PA
National Provider Identifier
1346682796
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA058048 Issued in PA
Practice address
7500 Brooktree Rd Ste 302
Wexford, PA 15090-9285
Phone
(412) 367-0600
Fax
(412) 367-7079
NPI assigned
Jul 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA058048 PA Primary
Surgical Physician Assistant 363AS0400X C05120 MD

Addresses

Primary practice location

7500 Brooktree Rd Ste 302
Wexford, PA 15090-9285

Mailing address

7500 Brooktree Rd Ste 302
Wexford, PA 15090-9285
Phone (412) 367-0600

Other identifiers 1

IdentifierTypeStateIssuer
1029831110001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address monteleonebr@upmc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601001671 PA Practitioner - Physician Assistant 6800020215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Multispecialty Group IncGroup PAC ID 7315263621, 57 clinicians

Practice addresses (Care Compare)

100 Innovation Dr
Suite 104
Slippery Rock, PA 16057-2468
Phone (866) 874-7483

9104 Babcock Blvd
Suite 2120
Pittsburgh, PA 15237-5818
Phone (866) 874-7483

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Quality
69.17
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Apr 20, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 20, 2016 Accepting new patients

Locations

200 Lothrop St
#58
Pittsburgh, PA 15213
Phone (412) 647-6000

9104 Babcock Blvd
Ste 2120
Pittsburgh, PA 15237
Phone (412) 367-0600

Interoperability endpoints

  • Direct secure messaging: michael.t.lugarich@upmcdirect.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1346682796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BROOKTREE RD STE 302",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909285",
            "telephone_number": "412-367-0600",
            "fax_number": "412-367-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BROOKTREE RD STE 302",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909285",
            "telephone_number": "412-367-0600",
            "fax_number": "412-367-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGARICH",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA058048",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C05120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029831110001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monteleonebr@upmc.edu",
            "affiliation": "N",
            "address_1": "7500 Brooktree Rd Ste 302",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150909285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.