LISA FUGATE (D.O.) – Family Medicine Physician, NPI 1164526489

LISA FUGATE (D.O.) is a healthcare provider. based in Covington, Kentucky. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 02519 (KY). The NPI Number for LISA FUGATE (D.O.) is 1164526489

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
LISA FUGATE (D.O.)
NPI
1164526489
Phone
(859) 655-6100
Address
1401 MADISON AVE
Enumeration Date
8 September 2006
Last Update Date
3 April 2021

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
8596556100
Graduation Year
1994 (32 years ago)
PAC ID
1951301597
Group Practice PAC ID
9638089642
Professional Enrollment ID
I20071002000755
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for LISA FUGATE (D.O.)

  • Madison Avenue, Covington, Kenton County, Kentucky, 41071-9998, United States

    COVINGTON, KY 410113313

    Phone: (859) 655-6100

    Type: Mailing

  • 215 E 11TH ST

    NEWPORT, KY 410712203

    Phone: (859) 655-6100

    Type: Mailing

  • 7607, Dixie Highway, Florence, Boone County, Kentucky, 41042, United States

    FLORENCE, KY 41042

    Phone: (859) 655-6100

    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 $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: ABBVIE INC. ($33).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$33
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41011)

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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: 9638089642View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YOH
Family Practice, Geriatric MedicineMO
Nurse PractitionerOH
Family PracticeKY
Family PracticeKY
Mental Health CounselorKY

Reviews

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Frequently asked questions

How do I look up LISA FUGATE (D.O.) by NPI?
Use NPI 1164526489 when you need to reference LISA FUGATE (D.O.) in forms, claims, or directories.
Is LISA FUGATE (D.O.) currently active in the NPI registry?
CMS-published data lists LISA FUGATE (D.O.) as an active registrant.
What kind of provider is LISA FUGATE (D.O.)?
The page reflects Family Medicine Physician for LISA FUGATE (D.O.). Clinical services aligned with this taxonomy classification.
Where is LISA FUGATE (D.O.)'s primary listing?
We display Covington, Kentucky because that is what the record indicates for LISA FUGATE (D.O.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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