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MS. MADELINE MARIE PACZYNSKI HUGHES PA
NPI 1992385710
Physician Assistant in Saint Louis, MO

Active since April 14, 2021PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
4488 FOREST PARK AVE, DIV NEUROLOGY AGING AND DEMENTIA, STE 160, SAINT LOUIS, MO 63108(314) 286-1967(314) 286-1985 Get Directions Write a Review

NPPES record last updated: January 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 18, 2026, Apr 25, 2024, Apr 10, 2024 and 4 more (7 updates tracked since 2021).

About Ms. Madeline Marie Paczynski Hughes Pa NPPES

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

MS. MADELINE MARIE PACZYNSKI HUGHES PA (NPI 1992385710) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2022004607) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992385710
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MADELINE MARIE PACZYNSKI HUGHESCredential: PA
Location Address4488 FOREST PARK AVE, DIV NEUROLOGY AGING AND DEMENTIA, STE 160Saint Louis, MO 63108-2283
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 286-1967 · Fax (314) 286-1985
Phone(314) 286-1967
Fax(314) 286-1985
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 14, 2021
Last NPPES UpdateJanuary 18, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2026
✔ NPI 1992385710 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 MO · 2022004607
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.
4488 FOREST PARK AVE, Saint Louis, MO 63108
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Other Identifiers 1

Medicaid220106937MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Ms. Madeline Marie Paczynski 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 ID7618362310
PECOS Enrollment IDI20220316000688
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 4

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
447 services149 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
215 services159 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
186 services142 patients
Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test 62270
A lower back spinal tap involves inserting a needle into the lower back to collect cerebrospinal fluid. This fluid surrounds your brain and spinal cord. The test helps diagnose conditions like infections or diseases of the nervous system.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

FOREST PARK PEDIATRICS, P.C.
Pediatrics
4488 FOREST PARK AVE, SUITE 230
SAINT LOUIS, MO 63108
St. Louis City (314) 535-7855
WASHINGTON UNIV CLINICAL ASSOCIATES
Clinic/Center (Multi-Specialty)
4488 FOREST PARK AVE, SUITE 230
SAINT LOUIS, MO 63108
St. Louis City (314) 535-7855
DR. SUZANNE ELIZABETH SCHINDLER MD
Psychiatry & Neurology (Neurology)
4488 FOREST PARK AVE, DIV NEUROLOGY AGING AND DEMENTIA, STE 160
SAINT LOUIS, MO 63108
St. Louis City (314) 362-1408
DR. DANA E ANKNEY MD
Hospitalist
4488 FOREST PARK AVE, STE 230
SAINT LOUIS, MO 63108
St. Louis City (314) 535-7855
DR. MARY SHAUGHNESSY MEYER MD
Pediatrics
4488 FOREST PARK AVE, STE 230
SAINT LOUIS, MO 63108
St. Louis City (314) 535-7855
MS. CARLISS RENE GARRETT ANP
Nurse Practitioner (Adult Health)
4488 FOREST PARK AVE, DIV NEUROLOGY ADULT, STE 160
SAINT LOUIS, MO 63108
St. Louis City (314) 362-1408
MS. CLAUDETTE J KURZ GNP
Nurse Practitioner (Gerontology)
4488 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 454-7756
DR. MEGAN ELIZABETH GARVEY-WHATLEY MD
Pediatrics
4488 FOREST PARK AVE, STE 230
SAINT LOUIS, MO 63108
St. Louis City (314) 535-7855

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 Madeline Hughes's NPI number?

The NPI number for Madeline Hughes is 1992385710. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Madeline Hughes located?

Madeline Hughes practices at 4488 Forest Park Ave Div Neurology Aging And Dementia, Ste 160, Saint Louis, MO 63108. The listed phone number is (314) 286-1967.

What is Madeline Hughes's specialty?

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

Is Madeline Hughes enrolled in Medicare?

Yes. Madeline 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 Madeline Hughes accept?

Health plans from Cox HealthPlans list Madeline 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 Madeline Hughes was last updated on January 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.