DR. KENNETH DOUGLAS PUGAR (D.O.) – Neurology Physician, NPI 1174961874

DR. KENNETH DOUGLAS PUGAR (D.O.) is a healthcare provider. based in Centerville, Ohio. specializing in NEUROLOGY. They hold the professional credentials D.O.. They hold a License No. 34.012511 (OH). The NPI Number for DR. KENNETH DOUGLAS PUGAR (D.O.) is 1174961874

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH DOUGLAS PUGAR (D.O.)
NPI
1174961874
Phone
(937) 439-6186
Address
1975 MIAMISBURG CENTERVILLE RD
Enumeration Date
5 June 2013
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9372987751
Graduation Year
2013 (13 years ago)
PAC ID
9234368333
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20170526001569
Address ID
OH454292405KE4441XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,301 NEUROLOGY in OH

Provider Addresses for DR. KENNETH DOUGLAS PUGAR (D.O.)

  • 1975 MIAMISBURG CENTERVILLE RD

    CENTERVILLE, OH 454593811

    Phone: (937) 439-6186

    Fax: (934) 396-6189

    Type: Mailing

  • 405 W GRAND AVE

    DAYTON, OH 454054720

    Phone: (937) 723-3564

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 289 Open Payments records for all available years, with a total value of $6,514.

Total Amount is formed as General ($6,514) + Research ($0) + Ownership ($0) = $6,514.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,200).

Total Amount

$6,514

General + Research + Ownership

Payments

289

Total payment records

General Amount

$6,514

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2017-05-26

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
I20170526001569INeurologyOHTBD

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
J0585Injection, onabotulinumtoxina, 1 unit7,60013$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes116113$0
99205New patient office or other outpatient visit, 60-74 minutes105105$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7356$0
99213Established patient office or other outpatient visit, 20-29 minutes3837$0
View full utilization report →

Insurance plans in this area (ZIP 45459)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

What number should I use to identify DR. KENNETH DOUGLAS PUGAR (D.O.) for billing?
Administrative and clinical systems typically use NPI 1174961874 for DR. KENNETH DOUGLAS PUGAR (D.O.).
Quick check: is DR. KENNETH DOUGLAS PUGAR (D.O.) active?
Public NPPES data shows DR. KENNETH DOUGLAS PUGAR (D.O.) with an active NPI status right now.
Which specialty label fits DR. KENNETH DOUGLAS PUGAR (D.O.)?
NPPES ties DR. KENNETH DOUGLAS PUGAR (D.O.) to Neurology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KENNETH DOUGLAS PUGAR (D.O.)?
The directory associates DR. KENNETH DOUGLAS PUGAR (D.O.) with Centerville, Ohio. Check all listed addresses for suites or satellite offices.
Can I export DR. KENNETH DOUGLAS PUGAR (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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