MR. JOHN W NUGENT (PAC) – Physician Assistant, NPI 1033224654

MR. JOHN W NUGENT (PAC) is a healthcare provider. based in Herrin, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 085001449 (IL). The NPI Number for MR. JOHN W NUGENT (PAC) is 1033224654

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN W NUGENT (PAC)
NPI
1033224654
Phone
(618) 997-6800
Address
510 LINCOLN DRIVE
Enumeration Date
21 August 2006
Last Update Date
7 February 2011

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6189976800
Graduation Year
2000 (26 years ago)
PAC ID
9234177510
Group Practice PAC ID
8921095514
Professional Enrollment ID
I20050418001038
Address ID
IL629486334HE510XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for MR. JOHN W NUGENT (PAC)

  • 510, Lincoln Drive, Herrin, Williamson County, Illinois, 62948, United States

    SOUTHERN ORTHOPEDIC ASSOCIATES SC

    HERRIN, IL 62948

    Phone: (618) 997-6800

    Fax: (618) 998-9124

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Stryker Corporation ($43).

Total Amount

$105

General + Research + Ownership

Payments

6

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2005-04-18

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
I20050418001038IPhysician AssistantILTBD

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
J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg18,98534$0
J1100Injection, dexamethasone sodium phosphate, 1 mg4,055295$0
20610Aspiration and/or injection of fluid from large joint758336$0
73562X-ray of knee, 3 views451368$0
99213Established patient office or other outpatient visit, 20-29 minutes327279$0
View full utilization report →

Insurance plans in this area (ZIP 62948)

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Provider's Procedures

MR. JOHN W NUGENT (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTIL20610Aspiration and/or injection of large joint or joint capsule335165
PHYSICIAN ASSISTANTIL27447Repair of knee joint5655
PHYSICIAN ASSISTANTIL73110X-ray of wrist, minimum of 3 views1711

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: 8921095514View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MR. JOHN W NUGENT (PAC) in U.S. healthcare records?
The official identifier for MR. JOHN W NUGENT (PAC) is NPI 1033224654.
Would MR. JOHN W NUGENT (PAC) appear as active to a payer?
You can treat MR. JOHN W NUGENT (PAC) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. JOHN W NUGENT (PAC)?
At a glance, MR. JOHN W NUGENT (PAC) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. JOHN W NUGENT (PAC) located near Herrin?
MR. JOHN W NUGENT (PAC) currently maps to Herrin, Illinois in this extract.
When was this NPI issued?
Enumeration for MR. JOHN W NUGENT (PAC) is noted as August 21, 2006 where the registry provides it.

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