DIANE L PUGH (DO) – Family Medicine Physician, NPI 1073590667

DIANE L PUGH (DO) is a healthcare provider. based in Port st lucie, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS0006117 (FL). The NPI Number for DIANE L PUGH (DO) is 1073590667

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DIANE L PUGH (DO)
NPI
1073590667
Phone
(772) 877-3591
Address
1430 SW SAINT LUCIE WEST BLVD
Enumeration Date
27 December 2005
Last Update Date
24 February 2026

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
7724685925
Graduation Year
1990 (36 years ago)
PAC ID
3476697855
Group Practice PAC ID
4284717422
Professional Enrollment ID
I20100223000679
Address ID
FL349474702FO1215XSTXX400

Contacts

Secure Messaging
drpughpca@conviva.eclinicaldirectplus.com
Secure Messaging
diane.pugh.1@29601.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DIANE L PUGH (DO)

  • Southwest St Lucie West Boulevard, Port St. Lucie, St. Lucie County, Florida, 34986, United States

    STE 101

    PORT ST LUCIE, FL 349862134

    Phone: (772) 877-3591

    Fax: (561) 623-0613

    Type: Mailing

  • 6101 BLUE LAGOON DR STE 400

    MIAMI, FL 331262051

    Phone: (305) 500-2000

    Type: Mailing

  • 1215 S 25TH ST

    FORT PIERCE, FL 349474702

    Phone: (772) 468-5925

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Exact Sciences Corporation ($23).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100223000679IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes280177$0
36415Insertion of needle into vein for collection of blood sample186118$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit122122$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11939$0
99213Established patient office or other outpatient visit, 20-29 minutes6250$0
View full utilization report →

Insurance plans in this area (ZIP 34986)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284717422View full group profile
NameSpecialtyState
Family PracticeFL
Family Practice, Internal MedicineFL
Physician AssistantFL
-FL
-FL
Internal MedicineFL
Nurse PractitionerFL
General PracticeFL
-FL
Family PracticeFL

Reviews

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Frequently asked questions

Can I cross-check DIANE L PUGH (DO) using NPI 1073590667?
NPI 1073590667 belongs to DIANE L PUGH (DO); compare other details if you need extra assurance.
Is there an active status for DIANE L PUGH (DO)?
For scheduling context, DIANE L PUGH (DO) is shown as active in the registry.
What clinical focus is listed for DIANE L PUGH (DO)?
At a glance, DIANE L PUGH (DO) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DIANE L PUGH (DO)?
Directory geography for DIANE L PUGH (DO) centers on Port St Lucie, Florida.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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