NPPES file of Aug 9, 2026

John Pugh, M.D., PHD

Neurology with Special Qualifications in Child Neurology Physician · Albany, NY

John Pugh, M.D., PHD is a neurology with special qualifications in child neurology physician with a practice address in Albany, New York, and NPI 1053515932, issued on Jun 13, 2007. Check the license (New York 264898, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053515932
Name
John Pugh
Credential
M.D., PHD
Primary taxonomy
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
License number
264898 NY
Self-reported in NPPES; status is on the state search
Practice location
391 Myrtle Avenue, Albany, NY 12208
Phone
(518) 262-3478
Enumerated
Jun 13, 2007
Record last updated
Aug 2, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(518) 262-9985
Medicare enrollment
Enrolled (PECOS I20120720000028); accepts Medicare assignment
Medical or professional school
Boston University School Of Medicine, 2007
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 391 Myrtle Avenue

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. David Colman, M.D.Family Medicine Physician1487889994
  2. Carlos Elguero, MDFamily Medicine Physician1962665737
  3. Siana Jacobs, MDStudent in an Organized Health Care Education/Training Program1861331209
  4. Mary JohnstonFamily Medicine Physician1922182856
  5. Neil MitnickFamily Medicine Physician1790874170
  6. Frances Rosario, FNPFamily Nurse Practitioner1679956643

Verify John Pugh in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 264898
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

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94% fewer Medicare Part D claims than the average neurology with special qualifications in child neurology physician in 2024

17 Medicare Part D claims, against an average of 278 among the 900 providers of this specialty who prescribed in Part D.

  1. John Pugh17
  2. Specialty average278

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 76.7 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score78.0
  2. Costout of 100 · 30%61.0
  3. Promoting interoperabilityout of 100 · 25%74.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $251.13

3 payments; by number, the most common kind was food and beverage; the largest payer was SK Life Science, Inc. The 1,195 providers of this specialty with any payment received $5,568.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. John Pugh$251.13
  2. Specialty average$5,568.05

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Albany Medical CollegeAlbany, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

John Pugh among 215 neurology with special qualifications in child neurology physician records in New York

John Pugh, M.D., PHD is one of 215 neurology with special qualifications in child neurology physician records with a practice address in New York. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 33% of them.

  • NPI issued2007 · 33% of these records are older, 54% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 45% of these records are
  • Graduated2007 · median 2007 among the 96 with a school on file
  • Record last updated2019 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084N0402X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Neurology with Special Qualifications in Child Neurology Physician providers in New York

There are 215 neurology with special qualifications in child neurology physician records in New York.

The 8 neurology with special qualifications in child neurology physician records with the nearest ZIP codes

  1. Stella Deng, MDAlbany, NY 122081760915342
  2. Vijay Vishwanath, MD PHDAlbany, NY 122081457679706
  3. Karen Powers, MDHalfmoon, NY 120651265640205
  4. Richard Simmons, M.D.Halfmoon, NY 120651912131525
  5. Glenn Castaneda, MDPoughkeepsie, NY 126011821090333
  6. Philip Overby, MDPoughkeepsie, NY 126011255485645
  7. Greg Rosenn, MDPlainview, NY 118031598707697
  8. Shantel Apeseche, MDStony Brook, NY 117941366071482

Common questions

What is John Pugh, M.D., PHD's NPI number?

John Pugh, M.D., PHD's National Provider Identifier (NPI) is 1053515932, issued on Jun 13, 2007. An NPI identifies a provider in billing; it is not a license.

Where is John Pugh, M.D., PHD located?

The NPPES record lists a practice address at 391 Myrtle Avenue, Albany, NY, 12208. Phone: (518) 262-3478. Providers update this record themselves, so call before visiting.

How can I verify John Pugh, M.D., PHD's license?

NPPES lists New York license number 264898, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does John Pugh, M.D., PHD prescribe under Medicare Part D?

In 2024, John Pugh, M.D., PHD had 17 Medicare Part D claims; the average among neurology with special qualifications in child neurology physician prescribers was 278. Part D covers Medicare prescriptions only.

What is John Pugh, M.D., PHD's MIPS final score?

The 2023 MIPS final score is 76.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.