Physician

Douglas Eugene Pugmire, D.O.

According to 2025 Medicare claims, Douglas Pugmire, D.O. (NPI: 1427003334) practices gynecologist/oncologist in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Oakland, MI. This provider's primary affiliated billing organization is WOMEN'S HEALTHCARE ASSOCIATES OF OAKLAND PLLC (NPI: 1568653780; TIN: 383469515) and primary practice location at 48307-1863. Pugmire is affiliated with the Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Pugmire's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 112 traditional Medicare patients, billed 343 HCPCS/CPT codes, and received $88,532 in Medicare payments. The top billing code was 58548 (Removal of uterus, cervix, and lymph nodes of pelvis with biopsy of aortic lymph node using an endoscope). Part D data shows 978 prescription claims across 169 beneficiaries totaling $50,322 in drug costs, led by Myrbetriq (Mirabegron). Open Payments data shows 2 records totaling $45. 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 moved up and down with repeated peaks and valleys, starting at $78,712 and ending at $88,532. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $105,051 and ending at $50,322. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

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$63K$127K2015 Medicare payment: $78,712 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $70,360 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $50,794 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $103,444 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $126,622 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $88,237 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $71,376 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $83,233 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $64,039 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $88,532 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015130721$78,712
2016124731$70,360
2017116379$50,794
2018148783$103,444
2019155779$126,622
2020132662$88,237
2021122622$71,376
2022117566$83,233
2023117436$64,039
2024112343$88,532

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$267K$533K2015 Drug cost: $105,051 (USD; Tot_Drug_Cst)2016 Drug cost: $30,576 (USD; Tot_Drug_Cst)2017 Drug cost: $50,041 (USD; Tot_Drug_Cst)2018 Drug cost: $48,735 (USD; Tot_Drug_Cst)2019 Drug cost: $92,428 (USD; Tot_Drug_Cst)2020 Drug cost: $275,141 (USD; Tot_Drug_Cst)2021 Drug cost: $533,108 (USD; Tot_Drug_Cst)2022 Drug cost: $186,684 (USD; Tot_Drug_Cst)2023 Drug cost: $66,644 (USD; Tot_Drug_Cst)2024 Drug cost: $50,322 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015104623$105,051
2016105607$30,576
2017110637$50,041
2018112647$48,735
2019130792$92,428
2020116777$275,141
2021120724$533,108
2022116699$186,684
2023130928$66,644
2024169978$50,322

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
58548Removal of uterus, cervix, and lymph nodes of pelvis with biopsy of aortic lymph node using an endoscope1717$1,614
50715Release of scar tissue at ureter2020$962
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more2424$183
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more76144$142
52000Diagnostic exam of bladder and urethra using an endoscope2323$34

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron14690$9,713
Mirabegron ErMirabegron13510$5,903
LetrozoleLetrozole211,410$798
Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl3955$699
Prochlorperazine MaleateProchlorperazine Maleate21426$624

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.2$45COLOPLAST CORP
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 Douglas Eugene Pugmire, D.O.?

Tedicare shows public-source Medicare data for Douglas Eugene Pugmire, D.O. (NPI 1427003334), 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 Douglas Eugene Pugmire, D.O. have ACO affiliation data?

Douglas Eugene Pugmire, D.O. is shown with ACO affiliation data for Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to Douglas Eugene Pugmire, D.O.?

Douglas Eugene Pugmire, D.O. is linked to WOMEN'S HEALTHCARE ASSOCIATES OF OAKLAND PLLC (billing NPI 1568653780) in the available physician profile data.

Does Douglas Eugene Pugmire, D.O. have Open Payments data?

Douglas Eugene Pugmire, D.O. has 2 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.