NPIMap

Individual provider Active NPI

Kevin Willis Pugh, M.D.

  • Orthopaedic Surgery Physician
  • Pikeville, KY
National Provider Identifier
1477596302
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
39861 Issued in KY
Practice address
911 Bypass Rd BLDG a
Pikeville, KY 41501-1689
Phone
(606) 430-2206
Fax
(606) 218-7506
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 39861 KY Primary

Addresses

Primary practice location

911 Bypass Rd BLDG a
Pikeville, KY 41501-1689

Mailing address

PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-2206

Other identifiers 1

IdentifierTypeStateIssuer
64117856MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpugh21934@PIKEVILLEKYDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20060419000022 KY Practitioner - Orthopedic Surgery 8628087731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians
Dominion Health and Fitness, IncGroup PAC ID 3274570908, 71 clinicians

Practice addresses (Care Compare)

184 S Mayo Trail
Pikeville, KY 41501-1518
Phone (606) 430-2213

4862 Dickenson Hwy
PO Box 1810
Clintwood, VA 24228-1810

911 Bypass Rd
Pikeville, KY 41501-1689

Hospital & facility affiliations

  • In Home Care Inc Home health agency, Wise, VA, CCN 497569
  • Home Care Health Services, Inc Home health agency, Pikeville, KY, CCN 187077
  • Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044
  • Tug Valley Arh Regional Medical Center Hospital, South Williamson, KY, CCN 180069
  • Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029
  • Highlands Arh Regional Medical Center Hospital, Prestonsburg, KY, CCN 180005
  • Lonesome Pine Hospital Hospital, Big Stone Gap, VA, CCN 490114

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement73
Knee replacement99
Lower limb (leg) arthroscopy (minimally invasive joint repair)17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc. Current Accepting new patients
Pikeville Medical Center Inc. CurrentSince Aug 1, 2007 Accepting new patients
Pikeville Medical Center Inc CurrentSince Aug 1, 2007 Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients

Locations

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

911 Bypass Rd
Fl 6
Pikeville, KY 41501
Phone (606) 218-1000

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

Interoperability endpoints

  • Direct secure messaging: kpugh21934@pikevillekydirect.org

Organizations & group practices 7

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 11

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1477596302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-2206",
            "fax_number": "606-218-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD BLDG A",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011689",
            "telephone_number": "606-430-2206",
            "fax_number": "606-218-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "KEVIN",
        "middle_name": "WILLIS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "39861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64117856",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpugh21934@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.