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Deactivated NPI 1194898536 Deactivated / Inactive NPI Female Practitioner

Carolyn R Pugh , PA-C

Physician Assistant • Elgin, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carolyn Pugh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 15, 2006
NPI Deactivation Date April 22, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Carolyn Pugh, PA-C was a registered Physician Assistant practicing in Elgin, IL. Throughout an active medical career spanning 13 years, Carolyn Pugh provided care at the practice location at 2050 LARKIN AVE until profile deactivation on 2019-04-22.

Historical Medicare Part B clinical services included subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, psychiatric diagnostic evaluation with medical services. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2050 Larkin Ave
Suite 202

Elgin, IL 60123

Telephone 8476972400
Fax 8476972438
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Elgin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.9 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
90 Specialists

Practicing in Elgin, IL (4958 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
19 19 $200.00 $120.60

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

23 Associated Practitioners
Antonio Hernandez-Silva , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1073371951

Psychiatric-Mental Health Nurse Practitioner

Jamie Cadieux

Counselor - Professional

NPI 1104943315
Steven Schaffer , MA

Counselor - Professional

NPI 1114005915

Master of Arts

Dr. Gayatri Baker , DO

Psychiatry & Neurology - Psychiatry

NPI 1205219300

Doctor of Osteopathic Medicine (D.O.)

Kelsey Maleski , LCSW

Social Worker - Clinical

NPI 1285187278

Licensed Clinical Social Worker

Megan Lukan , LCPC

Counselor - Professional

NPI 1285775643

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 22, 2019

Record deactivated on April 22, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2050 LARKIN AVE, SUITE 202, ELGIN, IL 60123 (Tel: 8476972400)

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Updated Business Mailing Address July 08, 2007

Registered at 2050 LARKIN AVE, SUITE 202, ELGIN, IL 60123 (Tel: 8476972400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CAROLYN PUGH, PA C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

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Initial NPI Registration & Enumeration November 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194898536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: July 08, 2007
Deactivation Date: April 22, 2019

Mailing Address

2050 Larkin Ave, Suite 202

Elgin, IL 60123

Phone: 8476972400

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.