2026 NPPES data Pain Medicine Physician NPI 1073042461 MD
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NICOLAS PUGH, MD

Pain Medicine Physician in ABILENE, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
926
Medicare Part D claims · 444 beneficiaries · Pain Medicine Physician avg: 2K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$14.82
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NICOLAS PUGH, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 926 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
926
Part D claims, 2023
Likely
board-certified (heuristic)

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.

NICOLAS PUGH, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

Board certification likely (heuristic — not verified)

NICOLAS PUGH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 NICOLAS PUGH, MD?

Below national average

NPI registry status

Active

Issued 06/08/2017

NPI 1073042461

Primary specialty

Pain Medicine Physician

Niche

951 US NPIs in this specialty

Medicare Part D claims

926 55% vs specialty avg

2023 prescription claims

Specialty avg: 2,078

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Pain Medicine Physician compares to other specialties among Texas providers

Texas providers

Pain Medicine Physician share within Texas

1. Pain Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine Physician share within Texas

Medicare quality performance — MIPS

NICOLAS PUGH, MD's 2023 MIPS final score plotted against the Pain Medicine Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Pain Medicine Physician) — 75/100 vs national avg 83.1

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).

NICOLAS PUGH, MD appears in the CMS NPPES registry as a Pain Medicine Physician provider holding MD credentials at 1925 HOSPITAL PL, ABILENE, TX, 79606, with a listed phone of (325) 326-3433. NPI 1073042461 was issued on 06/08/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PUGH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 926 prescription claims written by this provider, covering 444 Medicare beneficiaries and totaling roughly $36K in drug spend, with an opioid prescribing rate of 9.8%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Pain Medicine Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1925 HOSPITAL PL
ABILENE, TX 79606

Provider Details

NPI 1073042461
Specialty Pain Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/08/2017

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICOLAS PUGH, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ABILENE ADVANCED PAIN INSTITUTE
ABILENE, TX
THE WEST TEXAS REHABILITATION CENTER
ABILENE, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 NICOLAS PUGH, MD. Source: openpaymentsdata.cms.gov.

Total received

$15

Largest payer

Nevro Corp.

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to NICOLAS PUGH, MD. To verify NICOLAS PUGH, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas 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 2023.

926
Total Claims
$36K
Total Drug Cost
444
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
940
Total Day Supply
10,610
Generic Drug Cost
$9K
Opioid Claims
91 (9.8% rate)
Antibiotic Claims
157

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.84
Gender Split
58% female / 42% male
Age Distribution
<65: 121, 65-74: 151, 75-84: 119, 85+: 53

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What NICOLAS PUGH, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ondansetron Odt
Ondansetron
115
Naproxen
70
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
62
Dicyclomine Hcl
54
Cyclobenzaprine Hcl
45
Cefdinir
41
Promethazine Hcl
41
Prednisone
38
Sucralfate
28
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
27

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

Pain Medicine Physician Overview

How NICOLAS PUGH, MD fits within the Pain Medicine Physician landscape nationally.

951
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider

NICOLAS PUGH, MD's 926 claims are below the specialty average of 2,078.

Nearby Pain Medicine Physician Providers in Texas

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

Compare Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLAS PUGH, MD's specialty?
NICOLAS PUGH, MD specializes in Pain Medicine Physician and practices in ABILENE, Texas. Credentials: MD.
How much does NICOLAS PUGH, MD prescribe under Medicare Part D?
In 2023, NICOLAS PUGH, MD wrote 926 Medicare Part D claims totaling $36K in drug costs for 444 beneficiaries.
What is NICOLAS PUGH, MD's Medicare quality score?
NICOLAS PUGH, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLAS PUGH, MD located?
NICOLAS PUGH, MD is located at 1925 HOSPITAL PL, ABILENE, TX, 79606. Phone: (325) 326-3433.
What is NICOLAS PUGH, MD's NPI number?
NICOLAS PUGH, MD's National Provider Identifier (NPI) is 1073042461, issued on 06/08/2017.
Does NICOLAS PUGH, MD prescribe opioids?
Yes, NICOLAS PUGH, MD had 91 opioid claims in 2023 with an opioid prescribing rate of 9.8%.
How many Pain Medicine Physician providers are there in the US?
There are 951 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does NICOLAS PUGH, MD prescribe most often?
Based on 2023 Medicare Part D data, NICOLAS PUGH, MD's most frequently prescribed drugs include Ondansetron Odt, Naproxen, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLAS PUGH, MD accept Medicare?
NICOLAS PUGH, MD appears in CMS Medicare data with 926 Part D claims and 444 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLAS PUGH, MD's credentials?
NICOLAS PUGH, MD's NPI is 1073042461 with credentials MD. 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

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 (2023). 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 April 2026 (NPPES) / 2023 (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