James Gugger
NPI 1053705988 · Neurology Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Gugger is a Neurology Physician provider in Rochester, NY (NPI 1053705988).
Provider details
- NPI number
- 1053705988
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- MD467022 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
50 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Measurement of Brain Wave Activity With Video (veeg), 12-26 Hours With Review and Report By Health Care Professional95720 | 23 | $207 |
| Measurement of Brain Wave Activity (eeg), Awake and Drowsy95816 | 16 | $57 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 11 | $17 |
Typical Medicare-allowed amounts for these services range $17–$207 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lamotrigine | 41 | — |
| Lacosamide | 37 | 12 |
| Clobazam | 28 | — |
| Levetiracetam | 26 | — |
| Cenobamatebrand: Xcopri | 23 | — |
| Rufinamide | 11 | — |
| Zonisamide | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-28
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Frequently asked questions
- What is James Gugger's NPI number?
- James Gugger's National Provider Identifier (NPI) is 1053705988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Gugger's specialty?
- James Gugger is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is James Gugger located?
- James Gugger's practice location on file with NPPES is 601 Elmwood Ave Box 278984, Rochester, NY 14642-0001.
- What is James Gugger's phone number?
- The practice phone number listed in the NPPES registry for James Gugger is (585) 341-7500.
- Does James Gugger accept Medicare?
- James Gugger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Gugger's NPI active?
- Yes — James Gugger's NPI (1053705988) is active in the NPPES registry as of the last update on 2025-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.