Physician

Kristopher R. Pugh, M.D.

According to 2025 Medicare claims, Kristopher Pugh, M.D. (NPI: 1194859389) practices ophthalmology in the Louisville/Jefferson County, KY-IN market, with the plurality of this provider's patient population coming from Clark, IN. This provider's primary affiliated billing organization is EYE ASSOCIATES OF SOUTHERN INDIANA PC (NPI: 1336219922; TIN: 35-1995025) and primary practice location at 47130-3751.

Pugh's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 787 traditional Medicare patients, billed 3,099 HCPCS/CPT codes, and received $419,367 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 1,031 prescription claims across 245 beneficiaries totaling $76,191 in drug costs, led by Restasis (Cyclosporine). 2022 DME data shows 11 claims. Open Payments data shows 16 records totaling $483. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $644,034 to $419,367. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $308,566 to $76,191. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$344K$688K2015 Medicare payment: $644,034 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $686,757 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $687,940 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $678,846 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $612,234 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $450,529 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $502,961 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $474,630 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $456,477 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $419,367 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,2154,171$644,034
20161,1904,302$686,757
20171,1034,181$687,940
20181,0924,139$678,846
20199883,671$612,234
20208423,061$450,529
20219193,439$502,961
20228603,390$474,630
20238323,303$456,477
20247873,099$419,367

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$155K$310K2015 Drug cost: $308,566 (USD; Tot_Drug_Cst)2016 Drug cost: $233,706 (USD; Tot_Drug_Cst)2017 Drug cost: $291,685 (USD; Tot_Drug_Cst)2018 Drug cost: $310,411 (USD; Tot_Drug_Cst)2019 Drug cost: $139,156 (USD; Tot_Drug_Cst)2020 Drug cost: $122,100 (USD; Tot_Drug_Cst)2021 Drug cost: $100,008 (USD; Tot_Drug_Cst)2022 Drug cost: $74,961 (USD; Tot_Drug_Cst)2023 Drug cost: $81,112 (USD; Tot_Drug_Cst)2024 Drug cost: $76,191 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156042,032$308,566
20166502,211$233,706
20177212,321$291,685
20187282,086$310,411
20193251,092$139,156
2020260792$122,100
2021271919$100,008
2022221886$74,961
20232781,011$81,112
20242451,031$76,191

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$9.7K$19K2015 Medicare payment: $8,180 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $19,425 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $10,918 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $12,152 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $5,986 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $2,077 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $593 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015129135$8,180
2016319336$19,425
2017165172$10,918
2018205208$12,152
201999102$5,986
20202536$2,077
2021N/RN/RN/R
20221111$593
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
66984Removal of cataract with insertion of prosthetic lens429786$345
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more108108$92
92004New patient complete exam of visual system145145$74
92014Established patient complete exam of visual system347357$71
92136Measurement of corneal curvature and depth of eye3641,031$18

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RestasisCyclosporine211,155$23,641
LumiganBimatoprost321,422$13,743
CombiganBrimonidine Tartrate/Timolol14675$5,077
Prednisolone AcetatePrednisolone Acetate1484,495$3,612
WaterWater For Irrigation,sterile391,036$2,306

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.16$483RxSight Inc
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Kristopher R. Pugh, M.D.?

Tedicare shows public-source Medicare data for Kristopher R. Pugh, M.D. (NPI 1194859389), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Kristopher R. Pugh, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Kristopher R. Pugh, M.D.?

Kristopher R. Pugh, M.D. is linked to EYE ASSOCIATES OF SOUTHERN INDIANA PC (billing NPI 1336219922) in the available physician profile data.

Does Kristopher R. Pugh, M.D. have Open Payments data?

Kristopher R. Pugh, M.D. has 16 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.