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MRS. KELSEY LEE HUGHES PA-C
NPI 1376993477
Physician Assistant in Lagrange, ME

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment
46.94/100
CMS Quality Rating
209 MEDFORD RD, LAGRANGE, ME 04453(207) 991-4801 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelsey Lee Hughes Pa-c NPPES

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

MRS. KELSEY LEE HUGHES PA-C (NPI 1376993477) is an individual physician assistant in Lagrange, Maine and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Livingston Healthcare, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376993477
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KELSEY LEE HUGHESCredential: PA-C
Location Address209 MEDFORD RDLagrange, ME 04453-5202
Mailing Address209 Medford RdLagrange, ME 04453-5202
Phone(207) 991-4801
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 20, 2016
✔ NPI 1376993477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
209 MEDFORD RD, Lagrange, ME 04453
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Other Names 1

Former Name (1)Kelsey Lee Ottmann

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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

Mrs. Kelsey Lee Hughes Pa-c 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 ID2860788395
PECOS Enrollment IDI20180912001322
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.

Hospital Affiliations CMS Care Compare

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

Livingston Healthcare

Critical Access Hospitals · Livingston, MT
3/5 CMS rating
OwnershipPhysician
CMS Certification Number271317
Location320 Alpenglow LaneLivingston, MT 59047 · Park County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04453 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

46.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.85
Promoting Interoperability100
Improvement Activities0
Cost17.29

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers16 claims17 services$21.28 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
2 suppliers20 claims22 services$119.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kelsey Hughes's NPI number?

The NPI number for Kelsey Hughes is 1376993477. It was assigned to this individual provider in the NPPES registry on June 20, 2016. The provider is also known as Kelsey Lee Ottmann.

Where is Kelsey Hughes located?

Kelsey Hughes practices at 209 Medford Rd, Lagrange, ME 04453. The listed phone number is (207) 991-4801.

What is Kelsey Hughes's specialty?

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

Is Kelsey Hughes enrolled in Medicare?

Yes. Kelsey 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 Kelsey Hughes accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Kelsey 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 Kelsey Hughes affiliated with any hospitals?

According to CMS data, Kelsey Hughes is affiliated with Livingston Healthcare.

When was this NPI record last updated?

The NPPES record for Kelsey Hughes was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.