JAMES ANDREW DUGAN (MD) – Urology Physician, NPI 1275526899
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 UROLOGY in IN
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Provider Addresses for JAMES ANDREW DUGAN (MD)
8091, Township Line Road, Westchester Estates, Indianapolis, Indiana, 46260, United States
STE 109
INDIANAPOLIS, IN 46260
Phone: (317) 802-9900
Fax: (317) 802-9911
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 22 Open Payments records for all available years, with a total value of $766.
Total Amount is formed as General ($766) + Research ($0) + Ownership ($0) = $766.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Teleflex LLC ($296).
Total Amount
$766
General + Research + Ownership
Payments
22
Total payment records
General Amount
$766
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $296 |
| Boston Scientific Corporation | $149 |
| Axonics, Inc. | $111 |
| ABBVIE INC. | $36 |
| ACCORD HEALTHCARE, INC. | $33 |
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: 2004-06-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040610001752 | I | Urology | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 653 | 432 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 340 | 272 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 304 | 223 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 273 | 181 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 199 | 148 | $0 |
Insurance plans in this area (ZIP 46260)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | IN | 51798 | Ultrasound measurement of bladder capacity after voiding | 161 | 120 |
| UROLOGY | IN | 55700 | Biopsy of prostate gland | 26 | 26 |
| UROLOGY | IN | 76872 | Ultrasound of rectum | 41 | 39 |
| UROLOGY | IN | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 20 | 19 |
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