DR. HUGO JAMES PFAEFFLE MD,PHD
NPI 1609841139
Orthopaedic Surgery - Hand Surgery in Mars, PA

Q: What is Hugo Pfaeffle's NPI number?

The NPI number for Hugo Pfaeffle is 1609841139. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Q: What is Hugo Pfaeffle's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Hugo Pfaeffle was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment

82.63/100

CMS Quality Rating

6998 CRIDER RD, SUITE 110, MARS, PA 16046(727) 779-7000(412) 367-7079 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Hugo James Pfaeffle Md,phd NPPES

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

DR. HUGO JAMES PFAEFFLE MD,PHD (NPI 1609841139) is an individual hand surgery provider in Mars, Pennsylvania, licensed in Pennsylvania (MD 425835) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Clarion Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2000).

NPPES Registry Identity

NPI1609841139

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameDR. HUGO JAMES PFAEFFLECredential: MD,PHD

Location Address6998 CRIDER RD, SUITE 110Mars, PA 16046-2306

Mailing Address7500 Brooktree Rd Ste 302Wexford, PA 15090-9285 · (412) 367-0600 · Fax (412) 367-7079

Phone(727) 779-7000

Fax(412) 367-7079

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2000

Enumeration DateFebruary 20, 2006

Last NPPES UpdateFebruary 27, 2023

NPPES CertifiedFebruary 27, 2023

✔ NPI 1609841139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in PA · MD 425835

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedSpecialistTaxonomy 174400000X · License MD425835 (PA)

6998 CRIDER RD, Mars, PA 16046

Open in Google Maps ↗

Other Identifiers 3

Medicaid1012525240002PA

Medicaid1012525240003PA

Medicaid1012525240004PA

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

Dr. Hugo James Pfaeffle Md,phd 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 ID1355388976

PECOS Enrollment IDI20050414000435

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 18

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

436 services64 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

169 services126 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

162 services120 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.

144 services118 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

76 services50 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.

70 services70 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.

60 services51 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

55 services33 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

46 services35 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

43 services35 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

36 services24 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

35 services19 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

34 services25 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

22 services17 patients

Aspiration and/or injection of fluid from small joint using ultrasound guidance 20604

This procedure involves using ultrasound to accurately locate a small joint. A needle is then carefully inserted to remove fluid (aspiration) or inject medication. This can help diagnose or treat joint issues. It's generally safe and minimally invasive.

17 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.

15 services14 patients

Removal of tendon of finger 26180

Removal of a finger tendon, also known as a tenectomy, is a surgical procedure performed to alleviate pain or improve function. The surgeon makes a small incision, identifies the problematic tendon, and carefully removes it. This is done under anesthesia and recovery time varies.

14 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Clarion Hospital

Acute Care Hospitals · Clarion, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390093

LocationOne Hospital DriveClarion, PA 16214 · Clarion County

Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390107

Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County

Emergency services

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390168

LocationOne Hospital WayButler, PA 16001 · Butler County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16046 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

82.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.74

Promoting Interoperability

100

Improvement Activities

Cost

64.36

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

13%171 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier16 claims24 services$51.25 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924

DME-Orthotic Devices · category DF000N

1 supplier16 claims20 services$71.24 avg. paid by Medicare

Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment L3984

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$262.66 avg. paid by Medicare

Addition to upper extremity orthosis, sock, fracture or equal, each L3995

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$27.59 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 19

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

HUTSLER INTEGRATIVE HEALTH PC

Family Medicine

6998 CRIDER RD
MARS, PA 16046

Butler County (412) 865-7839

DR. SCOTT JOSHUA SZABO MD

Orthopaedic Surgery

6998 CRIDER RD, SUITE 110
MARS, PA 16046

Butler County (412) 367-0600

FRANCIS SAVANNAH

Nurse Practitioner (Family)

6998 CRIDER RD, SUITE 110
MARS, PA 16046

Butler County (724) 779-7000

MEDEXPRESS URGENT CARE, LLC - ADAMS TOWNSHIP

Clinic/Center (Urgent Care)

6998 CRIDER RD, SUITE 100
MARS, PA 16046

Butler County (724) 778-3627

MRS. MEGAN MARIE WHITE PA-C

Physician Assistant (Medical)

6998 CRIDER RD, SUITE 100
MARS, PA 16046

Butler County (724) 778-3627

TRI RIVERS SURGICAL ASSOCIATES, INC.

Orthopaedic Surgery

6998 CRIDER RD, SUITE 110
MARS, PA 16046

Butler County (724) 779-7000

KRISTEN A WEBER PA-C

Physician Assistant

6998 CRIDER RD
MARS, PA 16046

Butler County (724) 778-8362

HALEE L. ONDER PA-C

Physician Assistant (Medical)

6998 CRIDER RD
MARS, PA 16046

Butler County (724) 778-3627

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 Hugo Pfaeffle's NPI number?

The NPI number for Hugo Pfaeffle is 1609841139. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Hugo Pfaeffle located?

Hugo Pfaeffle practices at 6998 Crider Rd Suite 110, Mars, PA 16046. The listed phone number is (727) 779-7000.

What is Hugo Pfaeffle's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Hugo Pfaeffle enrolled in Medicare?

Yes. Hugo Pfaeffle 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 Hugo Pfaeffle affiliated with any hospitals?

According to CMS data, Hugo Pfaeffle is affiliated with Clarion Hospital, Upmc Passavant and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Hugo Pfaeffle was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.