RICHARD A HUGHES JR. MD
NPI 1427044262
Otolaryngology in Glens Falls, NY

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
93.92/100
CMS Quality Rating
2 BROAD STREET PLZ, ADIRONDACK ENT, GLENS FALLS, NY 12801(518) 926-1380(518) 926-1385 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2021, Mar 20, 2020 (2 updates tracked since 2020).

About Richard A Hughes Jr. Md NPPES

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

RICHARD A HUGHES JR. MD (NPI 1427044262) is an individual otolaryngology provider in Glens Falls, New York, licensed in New York (1322561) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1427044262
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameRICHARD A HUGHES JR.Credential: MD
Location Address2 BROAD STREET PLZ, ADIRONDACK ENTGlens Falls, NY 12801
Mailing Address100 Park Street, Glens Falls Hospital - CredentialingGlens Falls, NY 12801-4413 · (518) 926-5924 · Fax (518) 926-6983
Fax(518) 926-1385
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
NPI 1427044262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NY · 1322561
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2 BROAD STREET PLZ, Glens Falls, NY 12801

Other Identifiers 2

Medicaid00699005NY
OtherRH037F8210Ebs

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

Richard A Hughes Jr. 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 ID345255014
PECOS Enrollment IDI20060216000328
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 11

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,780 services22 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.
350 services252 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
260 services193 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.
226 services159 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
201 services136 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.
103 services103 patients

Hospital Affiliations CMS Care Compare 2

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

93.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.28
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers18 claims18 services$94.97 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers21 claims61 services$33.26 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers23 claims132 services$17.04 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers21 claims126 services$14.98 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers48 claims48 services$54.28 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers38 claims38 services$17.15 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.

Nurse Anesthetist, Certified Registered
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Anesthesiology
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Nurse Practitioner (Adult Health)
2 BROAD STREET PLZ, BROAD STREET MEDICAL GROUP
GLENS FALLS, NY 12801
Physical Therapist
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Nurse Anesthetist, Certified Registered
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Physical Therapist
2 BROAD STREET PLZ
GLENS FALLS, NY 12801
Physician Assistant
2 BROAD STREET PLZ, BROAD STREET MEDICAL GROUP
GLENS FALLS, NY 12801
Physical Therapist
2 BROAD STREET PLZ
GLENS FALLS, NY 12801

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 Richard Hughes's NPI number?

The NPI number for Richard Hughes is 1427044262. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Richard Hughes located?

Richard Hughes practices at 2 Broad Street Plz Adirondack Ent, Glens Falls, NY 12801. The listed phone number is (518) 926-1380.

What is Richard Hughes's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Richard Hughes enrolled in Medicare?

Yes. Richard 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 Richard Hughes affiliated with any hospitals?

According to CMS data, Richard Hughes is affiliated with St Peter's Hospital and Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Richard Hughes was last updated on June 2, 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.