JOSEPH O HUGHES PA-C
NPI 1023741840
Physician Assistant in Janesville, WI

Active since July 08, 2022PECOS EnrolledAccepts Medicare Assignment
3200 E RACINE ST, JANESVILLE, WI 53546(608) 371-8000(608) 371-8942 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2023, Jul 8, 2022 (2 updates tracked since 2022).

About Joseph O Hughes Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH O HUGHES PA-C (NPI 1023741840) is an individual physician assistant in Janesville, Wisconsin, licensed in Wisconsin (7256) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023741840
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSEPH O HUGHESCredential: PA-C
Location Address3200 E RACINE STJanesville, WI 53546-2343
Mailing Address3200 E Racine StJanesville, WI 53546-2343 · (608) 371-8000 · Fax (608) 371-8942
Fax(608) 371-8942
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 8, 2022
Last NPPES UpdateMarch 13, 20232 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
NPI 1023741840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 7256
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3200 E RACINE ST, Janesville, WI 53546

Other Identifiers 1

Medicaid1023741840WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joseph O Hughes Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496129579
PECOS Enrollment IDI20230314000851
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
613 services442 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
68 services68 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
41 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Edgerton Hospital And Health Services

Critical Access Hospitals · Edgerton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521319
Location11101 N Sherman RoadEdgerton, WI 53534 · Rock County
Emergency services

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
3200 E RACINE ST
JANESVILLE, WI 53546
Registered Nurse (Diabetes Educator)
3200 E RACINE ST
JANESVILLE, WI 53546
Pediatrics
3200 E RACINE ST
JANESVILLE, WI 53546
Otolaryngology
3200 E RACINE ST
JANESVILLE, WI 53546
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI 53546
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI 53546
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI 53546
Occupational Therapy Assistant
3200 E RACINE ST
JANESVILLE, WI 53546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Hughes's NPI number?

The NPI number for Joseph Hughes is 1023741840. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Where is Joseph Hughes located?

Joseph Hughes practices at 3200 E Racine St, Janesville, WI 53546. The listed phone number is (608) 371-8000.

What is Joseph Hughes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joseph Hughes enrolled in Medicare?

Yes. Joseph Hughes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Hughes accept?

Health plans from Anthem Blue Cross and Blue Shield list Joseph Hughes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Hughes affiliated with any hospitals?

According to CMS data, Joseph Hughes is affiliated with Fort Memorial Hospital, Ssm Health St Mary's Hospital - Madison, Ssm Health St Mary's Hospital - Janesville, Edgerton Hospital And Health Services and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Hughes was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.