EDWARD A HUGHES PA
NPI 1053781948
Physician Assistant in Pensacola, FL

Active since October 05, 2015PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
5147 N 9TH AVE STE 103, PENSACOLA, FL 32504(850) 494-9000(850) 416-1912 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward A Hughes Pa NPPES

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

EDWARD A HUGHES PA (NPI 1053781948) is an individual physician assistant in Pensacola, Florida, licensed in Florida (PA9108983) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053781948
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDWARD A HUGHESCredential: PA
Location Address5147 N 9TH AVE STE 103Pensacola, FL 32504-8770
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Fax(850) 416-1912
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 5, 2015
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
NPI 1053781948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9108983
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.
5147 N 9TH AVE STE 103, Pensacola, FL 32504

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

Edward A Hughes Pa 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 ID6608176250
PECOS Enrollment IDI20151203001683
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 9

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.
35 services29 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
30 services24 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
21 services14 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.
20 services19 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
19 services15 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
18 services12 patients

Hospital Affiliations CMS Care Compare

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery
5147 N 9TH AVE STE 103
PENSACOLA, FL 32504
Nurse Practitioner (Family)
5147 N 9TH AVE STE 103
PENSACOLA, FL 32504
Physician Assistant
5147 N 9TH AVE STE 103
PENSACOLA, FL 32504
Orthopaedic Surgery
5147 N 9TH AVE STE 103
PENSACOLA, FL 32504
Clinic/Center (Primary Care)
5147 N 9TH AVE STE 103
PENSACOLA, FL 32504
Physician Assistant
5147 N 9TH AVE STE 103
PENSACOLA, FL 32504
Physician Assistant (Surgical)
5147 N 9TH AVE STE 103
PENSACOLA, FL 32504
Orthopaedic Surgery
5147 N 9TH AVE STE 103
PENSACOLA, FL 32504

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 Edward Hughes's NPI number?

The NPI number for Edward Hughes is 1053781948. It was assigned to this individual provider in the NPPES registry on October 5, 2015.

Where is Edward Hughes located?

Edward Hughes practices at 5147 N 9th Ave Ste 103, Pensacola, FL 32504. The listed phone number is (850) 494-9000.

What is Edward Hughes's specialty?

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

Is Edward Hughes enrolled in Medicare?

Yes. Edward 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 Edward Hughes accept?

Health plans from Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Edward 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 Edward Hughes affiliated with any hospitals?

According to CMS data, Edward Hughes is affiliated with Sacred Heart Hospital.

When was this NPI record last updated?

The NPPES record for Edward Hughes was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.