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2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1871553552 M.D.
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Douglas Fugate, M.D.

Sports Medicine (Orthopaedic Surgery) Physician in Punxsutawney, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,766 in Sports Medicine (Orthopaedic Surgery) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
183
Medicare Part D claims · 46 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 309
MIPS score
93.8/100
▲ 10 pts above national avg 83.5 · Exceptional
Industry payments
$16.77
1 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Douglas Fugate, M.D. reported a CMS MIPS final score of 93.8/100 - above the 83.5 national average - and filed 183 Medicare Part D claims in 2024.

93.8/100
MIPS score · +10 vs avg
183
Part D claims, 2024
Likely
board-certified (heuristic)
≥69th
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Douglas Fugate, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1871553552), first enumerated 03/25/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 183 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 93.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Industry payment transparency

    $16.77 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Douglas Fugate, M.D.'s individual license status. Verify directly with the state medical board.

    Source: PA-BOM annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1871553552 · Sports Medicine (Orthopaedic Surgery) Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1871553552
  • ENUM-LEGACY 2006
  • TAX-NARROW 2,766
  • MIPS-ELITE 93.8/100
  • RX-LIGHT 183
  • BOOK-THIN 89 in Pennsylvania
  • PHOTO-FINISH John Baker, M.D. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Douglas Fugate, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

94 ≥ 69th percentile 69% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Douglas Fugate, M.D. sits

This provider among sports medicine (orthopaedic surgery) physician peers

Across the 924 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Douglas Fugate, M.D. writes more Part D claims than 47% of them and scores higher on MIPS quality than 82% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 73Douglas Fugate, M.D., Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 82
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one sports medicine (orthopaedic surgery) physician peer from a representative sample of 60; the gold marker is Douglas Fugate, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Douglas Fugate, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Douglas Fugate, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 03/25/2006

NPI 1871553552

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,766 US NPIs in this specialty

Medicare Part D claims

183 41% vs specialty avg

2024 prescription claims

Specialty avg: 309

MIPS final score

93.8/100 10.3 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Pennsylvania

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Heal…6%Pharmacist5%Physical Therapist4.8%Mental Health Counselor4%Internal Medicine Physician3.3%Professional Counselor3.2%Sports Medicine (Orthopaedic…0%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Douglas Fugate, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

High performer (top quartile)
MIPS Final Score
93.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%93.8%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 93.8/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

720 W MAHONING ST
Punxsutawney, PA 15767
(814) 938-0740

Provider Details

NPI 1871553552
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 03/25/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

93.7848
Final Score
Measured-score avg: 83.5
85.0781
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Douglas Fugate, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Smith+Nephew, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Douglas Fugate, M.D.. To verify Douglas Fugate, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

183
Total Claims
$12K
Total Drug Cost
46
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
208
Total Day Supply
5,633
Generic Drug Cost
$932
Opioid Claims
12 (6.6% rate)

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.17
Gender Split
57% female / 43% male
Age Distribution
<65: 12, 65-74: 18, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Douglas Fugate, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Meloxicam
 44
Diclofenac Sodium
 17
Lantus Solostar
Insulin Glargine,hum.Rec.Anlog
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Sports Medicine (Orthopaedic Surgery) Physician in PA → All providers in Pennsylvania → Compare specialties →

Sports Medicine (Orthopaedic Surgery) Physician Overview

How Douglas Fugate, M.D. fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,766
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
309
Avg Claims per Provider

Douglas Fugate, M.D.'s 183 claims are below the specialty average of 309.

Nationwide Sports Medicine (Orthopaedic Surgery) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Fugate, both outside Pennsylvania so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (93.8 here).

John Baker 93.8 TX John Eakin 93.7 CO Richard Jones 93.5 NC Keith Maxwell 93.5 NC

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Phillip Omohundro Glenn Dale, MD Alex Collins Aiken, SC Mark Field Baton Rouge, LA Michael Ryan Bend, OR

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Fugate.

One of 89 Sports Medicine (Orthopaedic Surgery) Physician providers enrolled in Pennsylvania, 5 are shown here.

Dr. Timothy Ackerman
D.O.
Harrisburg, PA
Dr. Paul Adams
MD
Langhorne, PA
Dr. Gregory Altman
MD
Pittsburgh, PA
Dr. Christopher Amuwa
M.D.
Hershey, PA
Dr. Ashley Anderson
MD
Malvern, PA

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Douglas Fugate, M.D.'s specialty? ▼
Douglas Fugate, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Punxsutawney, Pennsylvania. Credentials: M.D..
How much does Douglas Fugate, M.D. prescribe under Medicare Part D? ▼
In 2024, Douglas Fugate, M.D. wrote 183 Medicare Part D claims totaling $12K in drug costs for 46 beneficiaries.
What is Douglas Fugate, M.D.'s Medicare quality score? ▼
Douglas Fugate, M.D. has a CMS MIPS Final Score of 93.8/100 (Quality: 85.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Douglas Fugate, M.D. located? ▼
Douglas Fugate, M.D. is located at 720 W MAHONING ST, Punxsutawney, PA, 15767. Phone: (814) 938-0740.
What is Douglas Fugate, M.D.'s NPI number? ▼
Douglas Fugate, M.D.'s National Provider Identifier (NPI) is 1871553552, issued on 03/25/2006.
Does Douglas Fugate, M.D. prescribe opioids? ▼
Yes, Douglas Fugate, M.D. had 12 opioid claims in 2024 with an opioid prescribing rate of 6.6%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,766 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 309 Medicare Part D claims per year.
What drugs does Douglas Fugate, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Douglas Fugate, M.D.'s most frequently prescribed drugs include Meloxicam, Diclofenac Sodium, Lantus Solostar. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Douglas Fugate, M.D. accept Medicare? ▼
Douglas Fugate, M.D. appears in CMS Medicare data with 183 Part D claims and 46 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Douglas Fugate, M.D.'s credentials? ▼
Douglas Fugate, M.D.'s NPI is 1871553552 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.