DR. ALEXANDER HUGHES M.D.
NPI 1043488281
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in New York, NY

Active since February 11, 2008PECOS Enrolled
24.85/100
CMS Quality Rating
523 E 72ND ST, NEW YORK, NY 10021(646) 797-8195(212) 774-2701 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alexander Hughes M.d. NPPES

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

DR. ALEXANDER HUGHES M.D. (NPI 1043488281) is an individual orthopaedic surgery of the spine provider in New York, New York, licensed in New York (250910) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of Vanderbilt University School Of Medicine (2003).

NPPES Registry Identity

NPI1043488281
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. ALEXANDER HUGHESCredential: M.D.
Location Address523 E 72ND STNew York, NY 10021-4099
Mailing Address535 E 70th StNew York, NY 10021-4823 · (646) 797-8195 · Fax (212) 774-2701
Fax(212) 774-2701
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 2003
Enumeration DateFebruary 11, 2008
Last NPPES UpdateFebruary 16, 2021
NPPES CertifiedFebruary 16, 2021
NPI 1043488281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Licenses Licensed in NY · 250910 Licensed in CA · A905062
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
523 E 72ND ST, New York, NY 10021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Alexander Hughes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719024744
PECOS Enrollment IDI20091024000005
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 26

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
179 services137 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.
149 services149 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
128 services65 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
126 services108 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services86 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
84 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

24.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost82.84

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0627
DME-Orthotic Devices · category DF007N
2 suppliers51 claims51 services$334.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology (Obstetrics)
523 E 72ND ST
NEW YORK, NY 10021
Orthopaedic Surgery (Hand Surgery)
523 E 72ND ST
NEW YORK, NY 10021
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
523 E 72ND ST
NEW YORK, NY 10021
Clinical Exercise Physiologist
523 E 72ND ST
NEW YORK, NY 10021
Orthopaedic Surgery
523 E 72ND ST, 6TH FLOOR
NEW YORK, NY 10021
Orthopaedic Surgery (Foot and Ankle Surgery)
523 E 72ND ST, ROOM 509
NEW YORK, NY 10021
Orthopaedic Surgery (Sports Medicine)
523 E 72ND ST
NEW YORK, NY 10021
Specialist
523 E 72ND ST
NEW YORK, NY 10021

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 Alexander Hughes's NPI number?

The NPI number for Alexander Hughes is 1043488281. It was assigned to this individual provider in the NPPES registry on February 11, 2008.

Where is Alexander Hughes located?

Alexander Hughes practices at 523 E 72nd St, New York, NY 10021. The listed phone number is (646) 797-8195.

What is Alexander Hughes's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Alexander Hughes enrolled in Medicare?

Yes. Alexander Hughes is registered in the Medicare PECOS enrollment system.

Is Alexander Hughes affiliated with any hospitals?

According to CMS data, Alexander Hughes is affiliated with Berkshire Medical Center, Vassar Brothers Medical Center, Garnet Health Medical Center, Hospital For Special Surgery and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Alexander Hughes was last updated on February 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.