HUGO FLAVIO RAPOSO JR. DO
NPI 1255837134
Internal Medicine - Rheumatology in Worcester, MA

Active since April 01, 2018PECOS EnrolledAccepts Medicare Assignment
5 NEPONSET ST, WORCESTER, MA 01606(508) 595-2855 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hugo Flavio Raposo Jr. Do NPPES

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

HUGO FLAVIO RAPOSO JR. DO (NPI 1255837134) is an individual rheumatology provider in Worcester, Massachusetts, licensed in Massachusetts (289127) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of University Of New England, College Of Osteo Medicine (2018).

NPPES Registry Identity

NPI1255837134
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameHUGO FLAVIO RAPOSO JR.Credential: DO
Location Address5 NEPONSET STWorcester, MA 01606-2714
Mailing Address5 Neponset StWorcester, MA 01606-2714 · (508) 595-2855
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2018
Enumeration DateApril 1, 2018
Last NPPES UpdateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
NPI 1255837134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in MA · 289127
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
5 NEPONSET ST, Worcester, MA 01606

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

Hugo Flavio Raposo Jr. Do 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 ID9739437963
PECOS Enrollment IDI20240131001483
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 6

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.
93 services86 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.
53 services53 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
42 services33 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.
21 services21 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.
18 services18 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

Internal Medicine (Rheumatology)
5 NEPONSET ST
WORCESTER, MA 01606
Internal Medicine (Rheumatology)
5 NEPONSET ST
WORCESTER, MA 01606
Family Medicine
5 NEPONSET ST
WORCESTER, MA 01606
Nurse Practitioner (Family)
5 NEPONSET ST
WORCESTER, MA 01606
Optometrist
5 NEPONSET ST
WORCESTER, MA 01606
Physician Assistant
5 NEPONSET ST
WORCESTER, MA 01606
Nutritionist
5 NEPONSET ST
WORCESTER, MA 01606
Psychologist
5 NEPONSET ST
WORCESTER, MA 01606

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 Hugo Raposo's NPI number?

The NPI number for Hugo Raposo is 1255837134. It was assigned to this individual provider in the NPPES registry on April 1, 2018.

Where is Hugo Raposo located?

Hugo Raposo practices at 5 Neponset St, Worcester, MA 01606. The listed phone number is (508) 595-2855.

What is Hugo Raposo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Hugo Raposo enrolled in Medicare?

Yes. Hugo Raposo 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 Hugo Raposo accept?

Health plans from Anthem Blue Cross and Blue Shield list Hugo Raposo 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 Hugo Raposo affiliated with any hospitals?

According to CMS data, Hugo Raposo is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Hugo Raposo was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.