Jacob B Pugsley, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

02003149A Issued in IN

Practice address

1030 Medical Dr Ste a
Brigham City, UT 84302-3050

Phone

(435) 723-9704

Fax

(435) 723-9710

NPI assigned

Jun 5, 2008

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

Medicare fee-for-service enrollment

Enrolled in UT, ID2 enrollments

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 2

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpine Management and ConsultingGroup PAC ID 5496659245, 21 clinicians

Northern Utah Medical Supply LLCGroup PAC ID 7517349434, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017
• Bear River Valley Hospital Hospital, Tremonton, UT, CCN 460039
• Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpugsley@alpineortho.emadirect.md

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.

• Northern Utah Medical Supply LLC

  • Physical Medicine & Rehabilitation Physician
  • Brigham City, UT
  • NPI 1912649609

  ID

  Medicare reassignment Care Compare group NPD Authorized official
• Alpine Management and Consulting

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Logan, UT
  • NPI 1427184449

  ID, Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brigham City Community Hospital, Inc.

  • General Acute Care Hospital
  • Brigham City, UT
  • NPI 1245282227
  Care Compare affiliation
• Ihc Health Services Inc

  • General Acute Care Hospital
  • Tremonton, UT
  • NPI 1679582944
  Care Compare affiliation
• Ihc Health Services Inc

  • General Acute Care Hospital
  • Logan, UT
  • NPI 1831108497
  Care Compare affiliation

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1902065824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SOUTH MEDICAL DRIVE STE A",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023050",
            "telephone_number": "435-723-9704",
            "fax_number": "435-723-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MEDICAL DR STE A",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023050",
            "telephone_number": "435-723-9704",
            "fax_number": "435-723-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGSLEY",
        "first_name": "JACOB",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "02003149A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.