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MR. WILLIAM HUGHES MD
NPI 1447206867
Surgery in Philadelphia, PA

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
1100 WALNUT ST STE 500, PHILADELPHIA, PA 19107(215) 955-6750(215) 923-8222 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Oct 31, 2017 (2 updates tracked since 2017).

About Mr. William Hughes Md NPPES

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

MR. WILLIAM HUGHES MD (NPI 1447206867) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD054373L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1447206867
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. WILLIAM HUGHESCredential: MD
Location Address1100 WALNUT ST STE 500Philadelphia, PA 19107-5563
Mailing Address1421 E Drinker StDunmore, PA 18512-2655 · (215) 952-0792 · Fax (215) 952-0794
Phone(215) 955-6750
Fax(215) 923-8222
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1988
Enumeration DateMay 26, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1447206867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD054373L
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1100 WALNUT ST STE 500, Philadelphia, PA 19107
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Secondary Practice Location 1

Location 13401 N Broad St, 4th FloorPhiladelphia, PA 19140-5103 · Phone (215) 952-0792 · Fax (215) 952-0794

Other Identifiers 1

Medicaid0017158200004PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Mr. William 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 ID1557268224
PECOS Enrollment IDI20031219000100
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 9

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.

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.
154 services72 patients
Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less 15101
This is a procedure where a thin layer of skin is taken from a healthy area of your body and placed onto a wound on your trunk, arms, or legs. It is used to promote healing and reduce scarring. The measurement mentioned refers to the size of the graft.
75 services12 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
43 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 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.
17 services12 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AVINOAM NEVLER MD
Surgery
1100 WALNUT ST STE 500
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8666
DR. NEETA DALSANG CHAUDHARY MD, PHD
Surgery (Trauma Surgery)
1100 WALNUT ST STE 500
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6750
DR. VAKHTANG TCHANTCHALEISHVILI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1100 WALNUT ST STE 500
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6750
DR. TALAR TATARIAN M.D.
Surgery
1100 WALNUT ST STE 500
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8666

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 William Hughes's NPI number?

The NPI number for William Hughes is 1447206867. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is William Hughes located?

William Hughes practices at 1100 Walnut St Ste 500, Philadelphia, PA 19107. The listed phone number is (215) 955-6750.

What is William Hughes's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is William Hughes enrolled in Medicare?

Yes. William 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 William Hughes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and CareSource list William 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 William Hughes affiliated with any hospitals?

According to CMS data, William Hughes is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for William Hughes was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.