SYDNEY HUGHES MD
NPI 1396797890
Emergency Medicine in Rockville Centre, NY

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570(516) 705-2380 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sydney Hughes Md NPPES

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

SYDNEY HUGHES MD (NPI 1396797890) is an individual emergency medicine provider in Rockville Centre, New York, licensed in New York (213864) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1996).

NPPES Registry Identity

NPI1396797890
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSYDNEY HUGHESCredential: MD
Location Address1000 N VILLAGE AVERockville Centre, NY 11570-1000
Mailing AddressPo Box 798Rockville Centre, NY 11571-0798 · (516) 705-2380
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1996
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 29, 2008
NPI 1396797890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 213864
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 N VILLAGE AVE, Rockville Centre, NY 11570

Other Identifiers 3

Medicaid01952423NY
Medicare PIN26C001NY
Medicare UPING94661NY

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

Sydney Hughes 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 ID648290619
PECOS Enrollment IDI20051206000277
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 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
349 services331 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
275 services257 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
128 services121 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
111 services53 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
88 services88 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
75 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11570 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

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 (Medical Oncology)
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Internal Medicine (Medical Oncology)
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
General Acute Care Hospital
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Psychiatric Unit
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Rehabilitation Unit
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Pathology (Anatomic Pathology & Clinical Pathology)
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Emergency Medicine
1000 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Radiology (Radiation Oncology)
1000 N VILLAGE AVE, MEMORIAL SLOAN-KETTERING CANCER CENTER
ROCKVILLE CENTRE, NY 11570

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396797890, enumerated as an "individual" on May 16, 2006.

The provider is located at 1000 N VILLAGE AVE ROCKVILLE CENTRE, NY 11570 and the phone number is (516) 705-2380.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.