Michael Pegram, CNP
NPI 1851725170 · Nurse Practitioner · Cincinnati, OH
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Pegram, CNP is a Nurse Practitioner provider in Cincinnati, OH (NPI 1851725170).
Provider details
- NPI number
- 1851725170
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Male
- Sole proprietor
- No
- License
- APRN.CNP.14769 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
295 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 103 | $53 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 48 | $77 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 38 | $108 |
| 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 | 37 | $13 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 24 | $76 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 229 | 81 |
| Pantoprazole Sodium | 158 | 59 |
| Famotidine | 77 | 29 |
| Linaclotidebrand: Linzess | 53 | 23 |
| Ondansetronbrand: Ondansetron Odt | 40 | 13 |
| Esomeprazole Magnesium | 38 | 15 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 28 | 27 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$334 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-08-22
- Last updated
- 2024-01-05
- Certified
- 2024-01-05
Frequently asked questions
- What is Michael Pegram's NPI number?
- Michael Pegram's National Provider Identifier (NPI) is 1851725170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Pegram's specialty?
- Michael Pegram is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Pegram located?
- Michael Pegram's practice location on file with NPPES is 222 Piedmont Ave, Cincinnati, OH 45219-4231.
- What is Michael Pegram's phone number?
- The practice phone number listed in the NPPES registry for Michael Pegram is (513) 475-7505.
- Does Michael Pegram accept Medicare?
- Michael Pegram is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Pegram's NPI active?
- Yes — Michael Pegram's NPI (1851725170) is active in the NPPES registry as of the last update on 2024-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.