NPIMap

Individual provider Active NPI

Michael Monroe Jugan, D.O.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1396706966
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS0006104 Issued in FL
Practice address
3210 Cleveland Ave
Suite 100
Fort Myers, FL 33901-7180
Phone
(239) 936-6778
Fax
(239) 936-6905
NPI assigned
Mar 31, 2006
Last updated
Mar 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS0006104 FL Primary

Addresses

Primary practice location

3210 Cleveland Ave
Suite 100
Fort Myers, FL 33901-7180

Mailing address

3210 Cleveland Ave
Suite 100
Fort Myers, FL 33901-7180
Phone (239) 936-6778

Other identifiers 7

IdentifierTypeStateIssuer
054677100MedicaidFL
0905257OtherFLUNITED HEALTHCARE
80505OtherFLBCBS
0664623OtherFLAETNA HMO
4198735OtherFLAETNA PPO
6100549OtherFLGHI
2416393001OtherFLCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100805000142 FL Practitioner - Orthopedic Surgery 5890828230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kagan Jugan and Associates PAGroup PAC ID 5799676193, 11 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

3210 Cleveland Ave
Suite 100
Fort Myers, FL 33901-7182
Phone 23993667782227

4316 Lee Blvd
Unit 12B
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement25
Knee replacement46
Lower limb (leg) arthroscopy (minimally invasive joint repair)13
Upper limb (arm) arthroscopy (minimally invasive joint repair)13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0006104FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kagan Jugan & Associates PA Orthopaedic Surgery CurrentSince Sep 13, 1995 Accepting new patients
Kagan, Jugan & Associates Orthopaedic Surgery CurrentSince Sep 13, 1995 Accepting new patients

Locations

3210 Cleveland Ave
Ste 100
Fort Myers, FL 33901
Phone (239) 936-6778

3400 Lee Blvd
Ste 105
Lehigh Acres, FL 33971
Phone (239) 368-8277

Interoperability endpoints

  • Direct secure messaging: mjugan@kjcm.mdlogic.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1396706966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 CLEVELAND AVE",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017180",
            "telephone_number": "239-936-6778",
            "fax_number": "239-936-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 CLEVELAND AVE",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017180",
            "telephone_number": "239-936-6778",
            "fax_number": "239-936-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUGAN",
        "first_name": "MICHAEL",
        "middle_name": "MONROE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS0006104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054677100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0905257",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80505",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0664623",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4198735",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6100549",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2416393001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.