Dr. David Kugler, DO
221 Mount Pleasant Rd, Smithtown, NY 11787 • +1-506-555-6542
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Smithtown Percentiles
NPI #1174570147 • CBSA Regional • Endocrinology
Operating out of Smithtown, NY (221 Mount Pleasant Rd), Endocrinology clinician Dr. David Kugler, DO (accredited MD/DO training, 1994) maintains a upper-quartile active clinical volume (75th Smithtown percentile) (96.15th NY percentile; Z-score +1.87σ across 25,828 documented services) with sub-specialty concentration in 41 Active CMS HCPCS Codes.
Dr. Kugler's longitudinal care intensity (23.5 billed units per patient across 1101 individuals) centers on 99214 (10124 annual units) and 95251 ($34–$49 cash range).
At 221 Mount Pleasant Rd (11787), Dr. David Kugler, DO accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$232.00 per new consult (4.83/5 bedside rating).
Credentialed as an DO specialist with 32 years post-graduation experience since completing medical school at an LCME/COCA institution (1994), Dr. Kugler coordinates 41 Active CMS HCPCS Codes workups from 221 Mount Pleasant Rd (+1-506-555-6542).
Compared against Smithtown, NY Endocrinology peers
25,828 annual services across 1,101 beneficiaries
Standard deviations from NY Endocrinology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Complex Endocrine, Thyroid & Metabolic Biomarker Management | 10,124 | 75th | $54 – $75 |
| 95251 | Ambulatory Continuous Glucose Monitoring (CGM) Data Analysis | 5,062 | 71th | $34 – $49 |
| 76536 | High-Resolution Thyroid & Parathyroid Neck Ultrasound | 3,681 | 77th | $66 – $90 |
| 99204 | Comprehensive New Patient Endocrine & Hormone Workup | 2,761 | 78th | $75 – $103 |
| 99215 | High-Complexity Multi-Hormone & Insulin Pump Titration | 1,380 | 77th | $84 – $115 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (41 HCPCS billing breadth) | 2,820 | 75th | $47 – $68 |
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Dr. David Kugler, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kugler National Provider Identifier | NPI #1174570147 (DO) | CMS NPPES Registry (11787) |
| Dr. Kugler Smithtown CMS Volume Rank | 75.00th Pct (25,828 CMS svcs; Z +1.874σ) | CMS Medicare Part B (NY Endocrinology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Smithtown, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 15 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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