DR. BENJAMIN J HUGHES D.D.S.
NPI 1801382163
Dentist - Pediatric Dentistry in Charlottesville, VA

Active since July 10, 2018PECOS Enrolled
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-0123(434) 243-6378 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 5, 2024, Dec 8, 2023, Jul 10, 2018 (3 updates tracked since 2018).

About Dr. Benjamin J Hughes D.d.s. NPPES

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

DR. BENJAMIN J HUGHES D.D.S. (NPI 1801382163) is an individual pediatric dentistry provider in Charlottesville, Virginia, licensed in Virginia (0411000072) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1801382163
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. BENJAMIN J HUGHESCredential: D.D.S.
Location Address1204 W MAIN STCharlottesville, VA 22903-2824
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 243-6378
Sole ProprietorNo
Enumeration DateJuly 10, 2018
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
NPI 1801382163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in VA · 0411000072
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 0411000072 (VA)
1204 W MAIN ST, Charlottesville, VA 22903

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-3410 · Phone (434) 924-1774 · Fax (434) 243-6378

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Benjamin J Hughes D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 20

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

Neurological Surgery
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Pediatric Cardiology)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Medical Genetics (Clinical Genetics (M.D.))
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Obstetrics & Gynecology
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Pediatric Infectious Diseases)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Social Worker (Clinical)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903

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 Benjamin Hughes's NPI number?

The NPI number for Benjamin Hughes is 1801382163. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Benjamin Hughes located?

Benjamin Hughes practices at 1204 W Main St, Charlottesville, VA 22903. The listed phone number is (434) 924-0123.

What is Benjamin Hughes's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Benjamin Hughes enrolled in Medicare?

Yes. Benjamin Hughes is registered in the Medicare PECOS enrollment system.

What insurance does Benjamin Hughes accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Benjamin 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 Benjamin Hughes was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.