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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAUREN HUGHES MD, MPH
NPI 1396429296
Family Medicine in Rochester, NY

Active since June 12, 2023PECOS EnrolledAccepts Medicare Assignment
777 CLINTON AVE. S., ROCHESTER, NY 14620(585) 279-4800 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Jul 21, 2024, Jun 12, 2023 (3 updates tracked since 2023).

About Lauren Hughes Md, Mph NPPES

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

LAUREN HUGHES MD, MPH (NPI 1396429296) is an individual family medicine provider in Rochester, New York, licensed in New York (347338) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clearwater, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396429296
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLAUREN HUGHESCredential: MD, MPH
Location Address777 CLINTON AVE. S.Rochester, NY 14620
Mailing Address777 Clinton Ave. S.Rochester, NY 14620
Phone(585) 279-4800
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 12, 2023
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1396429296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 347338✔ Licensed in FL · 37645
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.
777 CLINTON AVE. S., Rochester, NY 14620
Open in Google Maps ↗

Secondary Practice Location 1

Location 114100 58th St NClearwater, FL 33760-9900 · Phone (727) 824-8181

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Hughes Md, Mph 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 ID547763625
PECOS Enrollment IDI20250913000012
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 Reassignment

Medicare enrollment records show Lauren Hughes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Of Pinellas Inc
1,073 mi
Federally Qualified Health Center (FQHC)
247 S HUEY AVE
Tarpon Springs, FL 34689
  • Reassigned Medicare billing, Florida enrollment
  • 131 clinicians in this Medicare group
NPI 1346228061 (727) 944-3828

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 14620 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.

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 Lauren Hughes's NPI number?

The NPI number for Lauren Hughes is 1396429296. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Lauren Hughes located?

Lauren Hughes practices at 777 Clinton Ave. S., Rochester, NY 14620. The listed phone number is (585) 279-4800.

What is Lauren Hughes's specialty?

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

Is Lauren Hughes enrolled in Medicare?

Yes. Lauren 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 Lauren Hughes accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Lauren 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.

When was this NPI record last updated?

The NPPES record for Lauren Hughes was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.