Active NPI 1568845097 Individual Practitioner Male Practitioner

Dr. Kevin Pugh , OD

Optometrist • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Pugh, OD is a certified Optometrist practicing in Mesa, AZ. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Pugh delivers high-quality medical care to the local community at 1055 S STAPLEY DR.

Dr. Pugh is affiliated with Southwestern Eye Center Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, photography of the retina, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1055 S Stapley Dr

Mesa, AZ 85204

Telephone 4808339100

Fax 4808336000

Associated Practice Facility / Clinic

🏢 Southwestern Eye Center Ltd Facility NPI 1881919967

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mesa, AZ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -8.1 yrs vs City Avg

City Avg: 19.1 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

101 Specialists

Practicing in Mesa, AZ (1373 Statewide)

Telehealth Adoption Rate

2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pugh (11 Years) 11 Yrs

Mesa Specialty Average (19.1 Years) 19.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	667	518	$190.00	$92.37
92250 Photography of the retina	229	221	$175.00	$37.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	123	$270.00	$130.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$408.46	$168.25
92133 Imaging of optic nerve	102	95	$95.00	$36.20
92134 Imaging of retina	96	93	$105.00	$41.19
68761 Closure of tear duct opening using plug	72	35	$626.94	$190.67
92083 Exam of visual field with extended testing	59	57	$158.81	$63.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	640	494	$190.00	$88.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	174	174	$410.00	$163.10
92250 Photography of the retina	115	113	$134.30	$36.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	101	$270.00	$125.79
92133 Imaging of optic nerve	101	93	$95.00	$35.53
92134 Imaging of retina	101	98	$105.00	$39.72
92083 Exam of visual field with extended testing	59	58	$160.00	$61.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$270.00	$110.25
68761 Closure of tear duct opening using plug	38	21	$662.11	$194.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$115.00	$55.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	443	379	$190.00	$89.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	191	$270.00	$126.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	168	168	$410.00	$163.80
92134 Imaging of retina	93	89	$105.00	$39.95
92250 Photography of the retina	87	87	$115.00	$36.25
92133 Imaging of optic nerve	75	69	$95.00	$35.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$270.00	$110.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$115.00	$55.82
92083 Exam of visual field with extended testing	24	24	$160.00	$60.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	271	255	$190.00	$89.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	198	$270.00	$127.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	167	167	$410.00	$167.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	151	151	$270.00	$111.58
92134 Imaging of retina	132	131	$105.00	$40.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	49	$115.00	$55.69
92250 Photography of the retina	49	49	$115.00	$38.95
92133 Imaging of optic nerve	47	46	$95.00	$36.72
92083 Exam of visual field with extended testing	16	16	$160.00	$59.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	215	214	$170.00	$123.76
92004 New patient complete exam of visual system	210	210	$210.00	$148.16
92012 Established patient problem focused exam of visual system	98	90	$120.00	$86.55
92134 Imaging of retina	78	77	$95.00	$40.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	49	$150.00	$107.45
92133 Imaging of optic nerve	30	29	$95.00	$36.80
92250 Photography of the retina	26	26	$110.00	$44.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$225.00	$161.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	166	165	$165.19	$124.00
92004 New patient complete exam of visual system	97	97	$201.05	$148.14
92012 Established patient problem focused exam of visual system	63	58	$113.52	$86.26
92250 Photography of the retina	35	34	$107.43	$49.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$145.75	$106.63
92134 Imaging of retina	23	23	$93.26	$40.31
92133 Imaging of optic nerve	20	18	$91.00	$36.47
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$95.94	$72.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$210.94	$161.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	73	73	$123.00	$120.37
92004 New patient complete exam of visual system	35	35	$148.00	$144.09
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$77.00	$69.45
92250 Photography of the retina	23	21	$80.00	$54.41
92134 Imaging of retina	18	16	$55.00	$39.72
92012 Established patient problem focused exam of visual system	15	14	$86.00	$83.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$116.00	$102.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	70	70	$123.00	$119.56
92004 New patient complete exam of visual system	26	26	$148.00	$144.13
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$77.00	$71.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$116.00	$104.10
92250 Photography of the retina	12	12	$80.00	$64.26

Medical Specialties & State Licenses

CMS Verified: 2021-05-17

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AZ 2054

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

032451 (AZ)

Hospital & Practice Group Affiliations

Southwestern Eye Center Ltd

4760 E Falcon Dr, Mesa, AZ 852152528

Phone: 4809857400

Secondary Practice Locations

1055 S Stapley Dr

Mesa, AZ 852045098

Phone: 4808339100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Dr. Jordan Bluth , OD

Optometrist

NPI 1043710759

Doctor of Optometry

Dr. Bailey Yee , OD

Optometrist

NPI 1073194221

Doctor of Optometry

Dr. Matthew Palmer , OD

Optometrist

NPI 1093970931

Doctor of Optometry

Dr. Denise Garcia , MD

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NPI 1194885590

Doctor of Medicine (M.D.)

Wallace Henry

Specialist/Technologist, Other - Surgical Technologist

NPI 1316311715

Jeffrey Gorzitze , CRNA

Nurse Anesthetist, Certified Registered

NPI 1386649952

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location February 23, 2024

Registered at 1055 S STAPLEY DR, MESA, AZ 85204 (Tel: 4808339100)

📍

Updated Business Mailing Address May 17, 2021

Registered at 4800 N 22ND ST STE 210, PHOENIX, AZ 850164963 (Tel: 4808928400)

✅

NPI Profile Active January 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 03, 2017

Registered at 1121 S GILBERT RD, SUITE 103, MESA, AZ 852045235 (Tel: 4808543310)

📍

Updated Business Mailing Address January 03, 2017

Registered at 1121 S GILBERT RD, SUITE 103, MESA, AZ 852045235 (Tel: 4808543310)

👤

Provider Name / Credentials Updated January 03, 2017

Recorded as KEVIN PUGH, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2017

Optometrist (License #2054 in AZ)

🟢

Initial NPI Registration & Enumeration July 01, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568845097

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 01, 2015

Last Update: February 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4800 N 22nd St Ste 210

Phoenix, AZ 850164963

Phone: 4808928400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.