Individual provider Active NPI

Charles S Pugsley, PA-C

  • Surgical Physician Assistant
  • Omaha, NE
National Provider Identifier
1497790174
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
814 Issued in NE
Practice address
8005 Farnam Dr Ste 305
Omaha, NE 68114-3426
Phone
(402) 390-4111
Fax
(402) 390-4115
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 814 NE Primary
Physician Assistant 363A00000X 814 NE

Addresses

Primary practice location

8005 Farnam Dr Ste 305
Omaha, NE 68114-3426

Mailing address

8005 Farnam Dr Ste 305
Omaha, NE 68114-3426
Phone (402) 390-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110405001128 IA Practitioner - Physician Assistant 2567646144 Reassigns benefits to 1 organization
I20111201000380 NE Practitioner - Physician Assistant 2567646144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD West One PCGroup PAC ID 0446228852, 89 clinicians

Practice addresses (Care Compare)

300 N 2ND St
O'Neill, NE 68763-1514
Phone (402) 390-4111

3901 W Norfolk Ave
Norfolk, NE 68701-9218
Phone (402) 390-4111

7915 Farnam Dr
Omaha, NE 68114-4504
Phone (402) 399-1900

8005 Farnam Dr
Suite 305
Omaha, NE 68114-3426
Phone (402) 390-4111

Hospital & facility affiliations

  • Midwest Surgical Hospital LLC Hospital, Omaha, NE, CCN 280131
  • St Francis Memorial Hospital Hospital, West Point, NE, CCN 281322
  • Avera St Anthony'S Hospital Hospital, O' Neill, NE, CCN 281329
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • Pender Community Hospital Hospital, Pender, NE, CCN 281349

Merit-based Incentive Payment System (MIPS)

Final score
84.57 of 100Reported as group
Quality
76.1
Promoting interoperability
95
Improvement activities
40
Cost
76.63

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
814NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MD West One, PC CurrentSince Jan 14, 1999 Accepting new patients
MD West One, PC Physician Assistant CurrentSince Jan 14, 1999 Accepting new patients

Locations

1 Edmundson Pl
Ste 200
Council Bluffs, IA 51503
Phone (712) 243-3250

2959 US Highway 275
Hamburg, IA 51640
Phone 71238215158070

222 N 192nd St
Elkhorn, NE 68022

3901 W Norfolk Ave
Ste S
Norfolk, NE 68701
Phone (402) 361-5260

8005 Farnam Dr
Ste 305
Omaha, NE 68114

300 N 2nd St
Oneill, NE 68763
Phone (402) 336-2900

430 N Monitor St
West Point, NE 68788
Phone (402) 372-2404

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1497790174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 FARNAM DR STE 305",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143426",
            "telephone_number": "402-390-4111",
            "fax_number": "402-390-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 FARNAM DR STE 305",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143426",
            "telephone_number": "402-390-4111",
            "fax_number": "402-390-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGSLEY",
        "first_name": "CHARLES",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "814",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.