DR. REO P PUGAO (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1063689065

DR. REO P PUGAO (DDS) is a healthcare provider. based in El paso, Texas. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY. They hold the professional credentials DDS. They hold a License No. 27779 (TX). The NPI Number for DR. REO P PUGAO (DDS) is 1063689065

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. REO P PUGAO (DDS)
NPI
1063689065
Phone
(915) 200-2680
Address
10410 Vista Del Sol Dr
Enumeration Date
9 May 2008
Last Update Date
11 June 2024

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Secondary Phone
9155329000
Graduation Year
2007 (19 years ago)
PAC ID
5294979068
Group Practice PAC ID
5395156996
Professional Enrollment ID
I20130917000507
Address ID
TX799257919EL10410DRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

98 MAXILLOFACIAL SURGERY in TX

Provider Addresses for DR. REO P PUGAO (DDS)

  • 10410 Vista Del Sol Dr

    El Paso, TX 799257919

    Phone: (915) 200-2680

    Type: Location

  • 10175, Gateway Boulevard West, El Paso, El Paso County, Texas, 79925, United States

    STE 304

    EL PASO, TX 799257618

    Phone: (909) 528-0480

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $617.

Total Amount is formed as General ($617) + Research ($0) + Ownership ($0) = $617.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Nexus CMF, LLC ($296).

Total Amount

$617

General + Research + Ownership

Payments

10

Total payment records

General Amount

$617

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: 2013-09-17

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
I20130917000507IMaxillofacial SurgeryTXTBD

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
99202New patient office or other outpatient visit, 15-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 79925)

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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: 5395156996View full group profile
NameSpecialtyState
Oral Surgery, Maxillofacial Surgery, DentistFL
Hospice/Palliative Care, Internal MedicineTX
Oral SurgeryTX
Physician AssistantNM
Internal Medicine, GastroenterologyTX
Orthopedic Surgery, Sports MedicineTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Maxillofacial SurgeryTX
Osteopathic Manipulative Medicine, Orthopedic SurgeryTX
Obstetrics/Gynecology, Family PracticeTX

Reviews

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Frequently asked questions

What is the standard ID for DR. REO P PUGAO (DDS) in the U.S.?
In the U.S., DR. REO P PUGAO (DDS) is identified by NPI 1063689065.
Is DR. REO P PUGAO (DDS)'s NPI status active today?
Active status means DR. REO P PUGAO (DDS)'s NPI record is not deactivated in the public file.
What does the directory say DR. REO P PUGAO (DDS) does?
Insurance directories may phrase it differently, but here DR. REO P PUGAO (DDS) maps to Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Is DR. REO P PUGAO (DDS) tied to El Paso, Texas?
If you are local to El Paso, Texas, DR. REO P PUGAO (DDS) may be relevant to your search.
Can I export DR. REO P PUGAO (DDS)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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