DR. THOMAS PATRICK HUGHES D.D.S., M.S.
NPI 1952460891
Dentist - Periodontics in Delray Beach, FL
NPI Status: Active since December 06, 2006
Contact Information
505 SE 6TH AVE
DELRAY BEACH, FL
ZIP 33483
Phone: (561) 272-5858
Fax: (561) 272-5615
- Individual
- Male
- Dentist
- Periodontics
- PECOS Enrolled
About THOMAS HUGHES
This page provides the complete NPI Profile along with additional information for Thomas Hughes, a provider established in Delray Beach, Florida with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1952460891 assigned on December 2006. The practitioner's primary taxonomy code is 1223P0300X with license number DN 6833 (FL). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1952460891
- Provider Name
- DR. THOMAS PATRICK HUGHES D.D.S., M.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 505 SE 6TH AVE DELRAY BEACH, FL 33483
- Location Phone
- (561) 272-5858
- Location Fax
- (561) 272-5615
- Mailing Address
- 505 SE 6TH AVE DELRAY BEACH, FL 33483
- Mailing Phone
- (561) 272-5858
- Mailing Fax
- (561) 272-5615
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-06-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Thomas Hughes is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- DN 6833
- License State
- FL
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| T88494 | MEDICARE UPIN (02) | FL | |
| 85516 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL |
Medicare Participation & PECOS Enrollment Status
Thomas Hughes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33483 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $91.69
- Minimum New Patient Price $58.56
- Maximum New Patient Price $179.05
- Average New Patient Copayment $22.92
- Minimum New Patient Copayment $14.64
- Maximum New Patient Copayment $44.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73
- Minimum Established Patient Price $18.44
- Maximum Established Patient Price $144.68
- Average Established Patient Copayment $18.25
- Minimum Established Patient Copayment $4.61
- Maximum Established Patient Copayment $36.17
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. THOMAS PATRICK HUGHES D.D.S., M.S.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 5 | 2 | 4 | 6 | 0 | 8 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 10 | 2 | 8 | 6 | 0 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 0 + 2 + 8 + 6 + 0 + 8 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1952460891 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
DR. RAMON A PEREZ-GARCIA DMD
Dentist
(Oral and Maxillofacial Surgery)
505 SE 6TH AVE
DELRAY BEACH, FL
ZIP 33483
OMSA DELRAY BEACH PA
Clinic/Center
(Oral and Maxillofacial Surgery)
505 SE 6TH AVE
DELRAY BEACH, FL
ZIP 33483
DR. MARISSA THI MATTHEWS D.D.S.
Dentist
505 SE 6TH AVE
SUITE A
DELRAY BEACH, FL
ZIP 33483
OMSA DB PA
Dentist
(Oral and Maxillofacial Surgery)
505 SE 6TH AVE
DELRAY BEACH, FL
ZIP 33483
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952460891, enumerated as an "individual" on December 06, 2006.
The provider is located at 505 SE 6TH AVE DELRAY BEACH, FL 33483 and the phone number is (561) 272-5858.
Dentist with taxonomy code 1223P0300X and a focus in Periodontics.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
