DOUGLAS S FUGATE (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1871553552
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DOUGLAS S FUGATE (M.D.)
IRMC Overlook, Hospital Road, Ben Avon, White Township, Indiana County, Pennsylvania, 15701, United States
SUITE160
INDIANA, PA 157013674
Phone: (724) 465-2676
Fax: (724) 349-1830
Type: Mailing
720, West Mahoning Street, Punxsutawney, Jefferson County, Pennsylvania, 15767, United States
SUITE 200
PUNXSUTAWNEY, PA 157671308
Phone: (814) 938-0740
Fax: (814) 938-0750
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 $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($127).
Total Amount
$144
General + Research + Ownership
Payments
2
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $127 |
| Smith+Nephew, Inc. | $17 |
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: 2011-07-18
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 |
|---|---|---|---|---|
| I20110718000232 | I | Orthopedic Surgery | PA | 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 |
|---|---|---|---|---|
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 1,250 | 12 | $0 |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,020 | 12 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 317 | 44 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 134 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 55 | $0 |
Insurance plans in this area (ZIP 15701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | PA | 20610 | Aspiration and/or injection of large joint or joint capsule | 254 | 111 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Orthopedic Surgery | PA | |
| Orthopedic Surgery | PA | |
| - | PA |
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