Douglas S Fugate, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

MD034740E Issued in PA

Practice address

720 W Mahoning St
Suite 200
Punxsutawney, PA 15767-1308

Phone

(814) 938-0740

Fax

(814) 938-0750

NPI assigned

Mar 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10717/brand/1/csg/1/fhir/r4
• Direct secure messaging: dfugate@direct.pah.org
• Direct secure messaging: douglas.fugate.1@10717.direct.athenahealth.com

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.

• Center for Orthopaedic and Sports Medicine PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Indiana, PA
  • NPI 1124088372

  PA, Sports Medicine

  Medicare reassignment NPD
• Cosm Rehab

  • Physical Therapist
  • Indiana, PA
  • NPI 1821050311
  NPD
• Punxsutawney Area Hospital Inc

  • General Acute Care Hospital
  • Punxsutawney, PA
  • NPI 1265449870
  NPD

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1871553552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 IRMC DR",
            "address_2": "SUITE160",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013674",
            "telephone_number": "724-465-2676",
            "fax_number": "724-349-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W MAHONING ST",
            "address_2": "SUITE 200",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671308",
            "telephone_number": "814-938-0740",
            "fax_number": "814-938-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "DOUGLAS",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD034740E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI1160",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014272070003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Faught, CRNP
• Andrea Curstin Feliciano, PA-C
• Samantha Lynn Ferraro, M.S. CCC-SLP
• W Scott Flipse, MD
• Deborah Gavlak Freeland
• Kenneth K Fugate, M.D.
• Ashley Geist
• George Carlson
• George R. Cherian, M.D., P.C.
• Giant Eagle, Inc

• All providers in Punxsutawney, PA
• Sports Medicine (Orthopaedic Surgery) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.