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CHELSEA DAWN HUGHES PAC
NPI 1063925873
Internal Medicine in La Plata, MD

Active since November 15, 2017PECOS EnrolledAccepts Medicare Assignment
5 GARRETT AVE, LA PLATA, MD 20646(631) 707-1369 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chelsea Dawn Hughes Pac NPPES

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

CHELSEA DAWN HUGHES PAC (NPI 1063925873) is an individual internal medicine provider in La Plata, Maryland, licensed in Maryland (C06649) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with University Of Md Charles Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063925873
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCHELSEA DAWN HUGHESCredential: PAC
Location Address5 GARRETT AVELa Plata, MD 20646-5960
Mailing Address6220 Clara Edward TerAlexandria, VA 22310-2555 · (631) 707-1369
Phone(631) 707-1369
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 15, 2017
✔ NPI 1063925873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · C06649
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5 GARRETT AVE, La Plata, MD 20646
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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

Chelsea Dawn Hughes Pac 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 ID446519037
PECOS Enrollment IDI20180104000399
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
463 services169 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
125 services123 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

University Of MD Charles Regional Medical Center

Acute Care Hospitals · La Plata, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210035
Location5 Garrett AvenueLa Plata, MD 20646 · Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20646 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier56 claims58 services$14.69 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier14 claims14 services$780.49 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$5.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier56 claims58 services$69.30 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.

UZMA VAINCE M.D.
Hospitalist
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-4000
MRS. NATASHA CHINAKESHA DECAIRES-CHESTER NP
Nurse Practitioner (Gerontology)
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-4287
NJIDEKA OGUEJIOFOR MD
Hospitalist
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-4000
OGHENEOCHUKO JOHN OTERI M.D
Emergency Medicine
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-4000
ADVANCED PATHOLOGY ASSOCIATES, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-4000
GRETCHEN ANN MACHESNEY NP
Nurse Practitioner (Acute Care)
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-5439
MRS. RACHEL P STEWART- JOHNSON CRNA
Nurse Anesthetist, Certified Registered
5 GARRETT AVE, POST OFFICE BOX 1070
LA PLATA, MD 20646
Charles County (301) 609-4285
UNIVERSITY OF MARYLAND PATHOLOGY ASSOCIATES, P.A.
Clinical Medical Laboratory
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-4259

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 Chelsea Hughes's NPI number?

The NPI number for Chelsea Hughes is 1063925873. It was assigned to this individual provider in the NPPES registry on November 15, 2017.

Where is Chelsea Hughes located?

Chelsea Hughes practices at 5 Garrett Ave, La Plata, MD 20646. The listed phone number is (631) 707-1369.

What is Chelsea Hughes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Chelsea Hughes enrolled in Medicare?

Yes. Chelsea 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.

Is Chelsea Hughes affiliated with any hospitals?

According to CMS data, Chelsea Hughes is affiliated with University Of MD Charles Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Chelsea Hughes was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.