KEVIN HUGHES II MD
NPI 1285131284
Family Medicine in Williamsville, NY

Active since April 07, 2018PECOS EnrolledAccepts Medicare Assignment
850 HOPKINS RD, WILLIAMSVILLE, NY 14221(716) 688-9641 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2021, Jul 23, 2021 (2 updates tracked since 2021).

About Kevin Hughes Ii Md NPPES

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

KEVIN HUGHES II MD (NPI 1285131284) is an individual family medicine provider in Williamsville, New York, licensed in New York (306988) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1285131284
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN HUGHES IICredential: MD
Location Address850 HOPKINS RDWilliamsville, NY 14221-1729
Mailing Address850 Hopkins RdBuffalo, NY 14221-1729 · (716) 688-9641
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 7, 2018
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1285131284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 306988
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
850 HOPKINS RD, Williamsville, NY 14221

Secondary Practice Location 1

Location 177 Goodell St Ste 240Buffalo, NY 14203-1243 · Phone (716) 816-7280

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

Kevin Hughes Ii Md 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 ID8426395799
PECOS Enrollment IDI20210811001556
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.
80 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
57 services57 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.
46 services37 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.
31 services15 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
28 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims45 services$3.65 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.

Student in an Organized Health Care Education/Training Program
850 HOPKINS RD
WILLIAMSVILLE, NY 14221
Family Medicine
850 HOPKINS RD
WILLIAMSVILLE, NY 14221
Family Medicine
850 HOPKINS RD
WILLIAMSVILLE, NY 14221
Family Medicine
850 HOPKINS RD
WILLIAMSVILLE, NY 14221
Student in an Organized Health Care Education/Training Program
850 HOPKINS RD
WILLIAMSVILLE, NY 14221
Family Medicine
850 HOPKINS RD
WILLIAMSVILLE, NY 14221
Physical Medicine & Rehabilitation
850 HOPKINS RD
WILLIAMSVILLE, NY 14221
Family Medicine
850 HOPKINS RD
WILLIAMSVILLE, NY 14221

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 Kevin Hughes's NPI number?

The NPI number for Kevin Hughes is 1285131284. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Where is Kevin Hughes located?

Kevin Hughes practices at 850 Hopkins Rd, Williamsville, NY 14221. The listed phone number is (716) 688-9641.

What is Kevin Hughes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Hughes enrolled in Medicare?

Yes. Kevin 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 Kevin Hughes affiliated with any hospitals?

According to CMS data, Kevin Hughes is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Kevin Hughes was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.