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BRIDGET HUGHES
NPI 1205298726
Pediatrics in Buffalo, NY

Active since March 23, 2016PECOS Enrolled
94.31/100
CMS Quality Rating
1001 MAIN ST FL 5, BUFFALO, NY 14203(716) 323-0035(716) 323-0292 Get Directions Write a Review

NPPES record last updated: February 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2023, Jan 18, 2021, Jun 27, 2016 and 1 more (4 updates tracked since 2016).

About Bridget Hughes NPPES

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

BRIDGET HUGHES (NPI 1205298726) is an individual pediatrics provider in Buffalo, New York, licensed in New York (298058) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205298726
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBRIDGET HUGHES
Location Address1001 MAIN ST FL 5Buffalo, NY 14203-1009
Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 323-0035 · Fax (716) 323-0292
Phone(716) 323-0035
Fax(716) 323-0292
Sole ProprietorNo
Enumeration DateMarch 23, 2016
Last NPPES UpdateFebruary 19, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2023
✔ NPI 1205298726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 298058✔ Licensed in OH · 57028453
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1001 MAIN ST FL 5, Buffalo, NY 14203
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11050 Niagara StBuffalo, NY 14213-2001 · Phone (716) 768-7600 · Fax (716) 768-7620
Location 21001 Main St Fl 2Buffalo, NY 14203-1009 · Phone (716) 323-6410 · Fax (716) 323-6677
Location 31540 Maple RdWilliamsville, NY 14221-3698 · Phone (716) 568-3600

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridget Hughes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Bridget Hughes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University At Buffalo Pediatric Associates Inc
Same address
Pediatrics
1001 MAIN ST FL 4
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 217 clinicians in this Medicare group
NPI 1912928599 (716) 323-0225
Kaleida Health
0.1 mi
General Acute Care Hospital
818 ELLICOTT ST
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1245365196 (716) 323-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

94.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost68.86

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.

AYSENUR DANIS
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0031
DR. MARY ELLEN EMBORSKY DO
Pediatrics (Pediatric Emergency Medicine)
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0220
DR. MEGHAN E JACOBS MD
Hospitalist
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0225
REBECCAH STEVENS
Obstetrics & Gynecology
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0631
DEMI ZHU
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0630
MARIA SARAH MORGAN MD
Obstetrics & Gynecology
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 636-8284
MIKA IWANO M.D.
Emergency Medicine (Pediatric Emergency Medicine)
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0220
CAITLIN CHUNCO
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0031

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 Bridget Hughes's NPI number?

The NPI number for Bridget Hughes is 1205298726. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Bridget Hughes located?

Bridget Hughes practices at 1001 Main St Fl 5, Buffalo, NY 14203. The listed phone number is (716) 323-0035.

What is Bridget Hughes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bridget Hughes enrolled in Medicare?

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

Which organizations bill Medicare for Bridget Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bridget Hughes reassigns Medicare benefits to 2 organizations: University At Buffalo Pediatric Associates Inc (Buffalo, NY) and Kaleida Health (Buffalo, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bridget Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bridget Hughes was last updated on February 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.