Dr. Daniel Puga, MD
424 Savannah Rd, Lewes, DE 19958 • +1-482-555-3915
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Lewes Percentiles
NPI #1659800571 • CBSA Regional • Internal Medicine
Dr. Daniel Puga, MD (NPI #1659800571) practices Internal Medicine in Lewes, DE (19958) with sub-specialty concentration in 12 Active CMS HCPCS Codes, recording 1,011 annual CMS services across 372 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (14.29th Lewes percentile) (-0.15σ vs DE state mean, 31.37th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Puga (averaging 2.7 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (455 encounters), paired with 99213 (263x).
At 424 Savannah Rd (19958), Dr. Daniel Puga, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.80/5 bedside rating).
Clinical background for Dr. Puga (MD, NPI #1659800571) includes accredited doctoral training (2014, 12 yrs in practice) and virtual + in-office availability across DE.
Compared against Lewes, DE Internal Medicine peers
1,011 annual services across 372 beneficiaries
Standard deviations from DE Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 455 | 14.29th | $130 – $179 |
| 99213 | Established Preventive & Chronic Care Visit | 263 | 17.29th | $100 – $137 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 131 | 18.29th | $48 – $65 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 101 | 12th | $153 – $210 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 61 | 12.29th | $181 – $248 |
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Dr. Daniel Puga, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Puga National Provider Identifier | NPI #1659800571 (MD) | CMS NPPES Registry (19958) |
| Dr. Puga Lewes CMS Volume Rank | 14.29th Pct (1,011 CMS svcs; Z -0.153σ) | CMS Medicare Part B (DE Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lewes, DE) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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