PAUL E HUGHES MD
NPI 1851361695
Orthopaedic Surgery - Sports Medicine in San Mateo, CA

Q: What is Paul Hughes's NPI number?

The NPI number for Paul Hughes is 1851361695. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Q: What is Paul Hughes's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: Is Paul Hughes enrolled in Medicare?

No. Paul Hughes has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Paul Hughes was last updated on February 6, 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.

Active since January 24, 2006Opted out of Medicare · through Apr 1, 2028

98.91/100

CMS Quality Rating

100 SOUTH ELLSWORTH AVENUE, SUITE 504, SAN MATEO, CA 94401(650) 343-5633(650) 343-3122 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2024, Jul 16, 2018, Apr 26, 2018 (3 updates tracked since 2018).

On this page

About Paul E Hughes Md NPPES

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

PAUL E HUGHES MD (NPI 1851361695) is an individual sports medicine provider in San Mateo, California, licensed in California (A78391) and active in the NPI registry since January 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851361695

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NamePAUL E HUGHESCredential: MD

Location Address100 SOUTH ELLSWORTH AVENUE, SUITE 504San Mateo, CA 94401

Mailing Address100 South Ellsworth Avenue, Suite 504San Mateo, CA 94401-3956 · (650) 343-5633 · Fax (650) 343-3122

Phone(650) 343-5633

Fax(650) 343-3122

Sole ProprietorYes

Enumeration DateJanuary 24, 2006

Last NPPES UpdateFebruary 6, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1851361695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · A78391

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

100 SOUTH ELLSWORTH AVENUE, San Mateo, CA 94401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Paul E Hughes Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

98.91/100

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

Individually scored

Quality

98.57

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)

100%20 patients5/55-star benchmark: 100%

Breast Cancer Screening

78%173 patients4/55-star benchmark: 93%

Cervical Cancer Screening

57%138 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

2%270 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

60%416 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

68%204 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

52%52 patients3/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

21%52 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

7%1,466 patients1/55-star benchmark: 100%

e-Prescribing

99%2,239 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

7%298 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

31%685 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

11%566 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%975 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 72% · 383 patients

70%383 patients

Provide Patients Electronic Access to Their Health Information

99%1,322 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 10% · 312 patients

Patients totalRate: 15% · 312 patients

17%312 patients3/55-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.

Other Providers at the Same Location NPPES 3

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

DR. EUGENE YOUNG LEE MD

Specialist

100 SOUTH ELLSWORTH AVENUE, SUITE 507
SAN MATEO, CA 94401

San Mateo County (650) 342-7432

ONUMA AND LEE MD'S

Internal Medicine (Gastroenterology)

100 SOUTH ELLSWORTH AVENUE, SUITE 507
SAN MATEO, CA 94401

San Mateo County (650) 342-7432

DR. EDWARD K ONUMA M.D.,PHD

Specialist

100 SOUTH ELLSWORTH AVENUE, SUITE 507
SAN MATEO, CA 94401

San Mateo County (650) 342-7432

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 Paul Hughes's NPI number?

The NPI number for Paul Hughes is 1851361695. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Paul Hughes located?

Paul Hughes practices at 100 South Ellsworth Avenue Suite 504, San Mateo, CA 94401. The listed phone number is (650) 343-5633.

What is Paul Hughes's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Paul Hughes enrolled in Medicare?

No. Paul Hughes has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Paul Hughes was last updated on February 6, 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.