Brian Pugh, DO
Individual provider Active NPI Surgery Physician · Sevierville, TN
NPI 1780840926 · NPPES record last updated Jun 30, 2020
Key facts
- NPI
- 1780840926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 2534 (TN)
- Practice address
- 744 Middle Creek Rd
Ste 210
Sevierville, TN 37862-5015 - Phone
- (865) 446-9550
- Fax
- (865) 446-9551
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Medical Group Inc
Practice addresses (Care Compare)
744 Middle Creek Rd
Suite 210
Sevierville, TN 37862-5036
Phone (865) 446-9550
Hospital & facility affiliations
- Leconte Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 52 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 16 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130805000501 | TN | Practitioner - General Surgery | 3971745936 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2534 | TN | MD | Physician Assistant |
| 58.002763 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc. | Surgery | Current |
Accepting new patients |
| Covenant Medical Group, Inc | Current |
Accepting new patients |
Locations
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
744 Middle Creek Rd
Ste 210
Sevierville, TN 37862
Phone (865) 446-9550
Interoperability endpoints
- pugh.brian@covenanthealth.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 58.002763 | OH | |
| Surgery Physician | 208600000X | 2534 | TN | Yes |
Addresses
Primary practice location
744 Middle Creek Rd
Ste 210
Sevierville, TN 37862-5015
Mailing address
744 Middle Creek Rd
Ste 210
Sevierville, TN 37862-5015
Phone (865) 446-9550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58.002763 | Other | OH | MEDICAL LICENSE |
| 1532633 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Pugh.Brian@covenanthealth.cernerdirect.com |
Other providers in Sevierville, TN
- Pro Therapy Services of East Tennessee
- Pro Therapy Services of East Tennessee, Inc
- Progressive Health Management Inc
- Ptrktn Holdings LLC
- Publix Tennessee, LLC
- John Clarke Rader
- Jason Lee Ramey
- Ratcliff Chiropractic Office PC
- Craig B Ratcliff
- Keith K Ratcliff
All providers in Sevierville, TN · Surgery Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.