DR. IVAN DARRELL JR. PUGH (DO) – Surgery Physician, NPI 1174513667
Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,600 GENERAL SURGERY in OH
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Provider Addresses for DR. IVAN DARRELL JR. PUGH (DO)
2525, Southeast Boulevard, Salem, Columbiana County, Ohio, 44460, United States
SALEM, OH 444603464
Phone: (330) 337-2868
Fax: (330) 337-2875
Type: Mailing
2094, East State Street, Salem, Columbiana County, Ohio, 44460, United States
SUITE A
SALEM, OH 44460
Phone: (330) 337-2868
Fax: (330) 337-2875
Type: Location
1995 E STATE ST
SALEM, OH 444602423
Phone: (330) 337-2868
Fax: (330) 337-2875
Type: Mailing
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Becton, Dickinson and Company ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Becton, Dickinson and Company | $14 |
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: 2009-03-05
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 |
|---|---|---|---|---|
| I20090305000492 | I | General Surgery | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 36 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 12 | 12 | $0 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 11 | 11 | $0 |
Insurance plans in this area (ZIP 44460)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Family Practice | PA | |
| Hospitalist, Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| N E U R O L O G Y | OH | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| G A S T R O E N T E R O L O G Y | OH |
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