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JEFFREY C HUGHES PA
NPI 1811959547
Physician Assistant in Worcester, MA

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, DEPARTMENT OF OTOLARYNGOLOGY, WORCESTER, MA 01655(508) 856-4142(508) 856-6703 Get Directions Write a Review

NPPES record last updated: July 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey C Hughes Pa NPPES

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

JEFFREY C HUGHES PA (NPI 1811959547) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (PA 1698) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1811959547
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEFFREY C HUGHESCredential: PA
Location Address55 LAKE AVE N, DEPARTMENT OF OTOLARYNGOLOGYWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 856-4142
Fax(508) 856-6703
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 6, 2006
Last NPPES UpdateJuly 14, 2017
✔ NPI 1811959547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA 1698
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
55 LAKE AVE N, Worcester, MA 01655
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Other Identifiers 2

Medicare PINAP282801MA
Medicare UPINQ76030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jeffrey C Hughes Pa 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 ID8123120896
PECOS Enrollment IDI20070227000256
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 3

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.

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.
238 services192 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.
214 services153 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.
107 services107 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

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 Jeffrey Hughes's NPI number?

The NPI number for Jeffrey Hughes is 1811959547. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Jeffrey Hughes located?

Jeffrey Hughes practices at 55 Lake Ave N Department Of Otolaryngology, Worcester, MA 01655. The listed phone number is (508) 856-4142.

What is Jeffrey Hughes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jeffrey Hughes enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Hughes accept?

Health plans from Anthem Blue Cross and Blue Shield list Jeffrey 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 Jeffrey Hughes affiliated with any hospitals?

According to CMS data, Jeffrey Hughes is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Hughes was last updated on July 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.