Robert Fugitt (NPI# 1104821453, PAC ID# 8022009679) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1104821453 |
| PAC ID by PECOS | 8022009679 |
| Professional Enrollment ID | I20040521000469 |
| Full Name | Robert Fugitt |
| Organization Legal Name | ROBERT G FUGITT, MD AND DAVID B LILLIE, MD, PC |
| Address |
3800 Delaware Ave Suite 104 Kenmore NY 14217-1094 |
| Phone Number | 7168733828 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1973 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6800920307 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330005 | KALEIDA HEALTH |
| 330102 | KENMORE MERCY HOSPITAL |
| 330078 | SISTERS OF CHARITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3800 Delaware Ave, Suite 104, Kenmore, NY 14217-1094 | 7168733828 | ROBERT G FUGITT, MD AND DAVID B LILLIE, MD, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Organization Legal Name | ROBERT G FUGITT, MD AND DAVID B LILLIE, MD, PC |
| Physicians | 1 |
| Street Address |
3800 DELAWARE AVE SUITE 104 |
| City | KENMORE |
| State | NY |
| Zip | 14217-1094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Antfleck | Internal Medicine | 3800 Delaware Ave, Suite 102, Kenmore, NY 14217-1094 | |
| Diane J Sutter | Obstetrics/gynecology | Diane J Sutter Md Pllc | 3800 Delaware Ave, Suite 102, Kenmore, NY 14217-1094 |
| Julie A Gavin | Obstetrics/gynecology | 3800 Delaware Ave, Suite 108, Kenmore, NY 14217-1094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashvani K Gulati | Ophthalmology | 3750 Delaware Ave, Kenmore, NY 14217-1002 | |
| Elspeth S Call Lukasik | Obstetrics/gynecology | Bartels,powalski and Weissman, Mds,pc | 3834 Delaware Ave, Kenmore, NY 14217-1039 |
| George A Haddad | Internal Medicine | 3800 Delware Ave, Suite 100, Kenmore, NY 14217-1094 | |
| Christopher Dressel | Chiropractic | 3679 Delaware Ave, Buffalo, NY 14217-1113 | |
| Susan Baldassari | Internal Medicine | 3673 Delaware Ave, Kenmore, NY 14217-1113 | |
| Keryn E Gauch | Physician Assistant | Daniel I Rifkin, Md, PC | 1491 Sheridan Dr, Kenmore, NY 14217-1234 |
| Lauren Condrasky | Physician Assistant | Sheridan Drive Medical Group LLP | 1491 Sheridan Dr, Suite 100, Tonawanda, NY 14217-1234 |
| Kaylee L Mcrae | Physician Assistant | Sheridan Drive Medical Group LLP | 1491 Sheridan Dr, Suite 100, Tonawanda, NY 14217-1234 |
| Rajiv K Jain | Internal Medicine | University Orthopaedic Services Inc | 1491 Sheridan Dr, Tonawanda, NY 14217-1234 |
| Kariann M Womer | Physician Assistant | Sheridan Drive Medical Group LLP | 1491 Sheridan Dr, Suite 100, Tonawanda, NY 14217-1234 |
| Find all physicians in zip 14217 | |||
| City | KENMORE |
| Zip Code | 14217 |
| Specialty | UROLOGY |
| City + Specialty | KENMORE + UROLOGY |
Please comment or provide details below to improve the information on Robert Fugitt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.