DR. JACKSON CHARLES PUGH (M.D.) – Emergency Medicine Physician, NPI 1912345935
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,332 FAMILY PRACTICE in MO
Provider Addresses for DR. JACKSON CHARLES PUGH (M.D.)
300 WINDING WOODS DR STE 100
O FALLON, MO 633665080
Phone: (636) 379-4329
Type: Mailing
434 N WEST ST
PERRYVILLE, MO 637751359
Phone: (573) 547-2536
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2023-05-24 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($94).
Total Amount
$94
General + Research + Ownership
Payments
1
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $94 |
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: 2020-10-07
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 |
|---|---|---|---|---|
| I20201007001748 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 85 | 82 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 50 | 49 | $0 |
| 99291 | Critical care, first 30-74 minutes | 16 | 15 | $0 |
Insurance plans in this area (ZIP 63366)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | IN | |
| Emergency Medicine | MA | |
| - | PA | |
| Emergency Medicine, Family Practice, Emergency Medicine | MO | |
| - | TN | |
| Emergency Medicine, Pediatric Medicine | IL | |
| Emergency Medicine, Pediatric Medicine | TN | |
| - | MO | |
| - | CT | |
| Emergency Medicine | MO |
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