Jeffrey Hughes, PA
NPI 1811959547 · Physician Assistant · Worcester, MA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Hughes, PA is a Physician Assistant provider in Worcester, MA (NPI 1811959547).
Provider details
- NPI number
- 1811959547
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA 1698 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
559 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 238 | $77 |
| Removal of Impacted Ear Wax69210 | 214 | $41 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 107 | $96 |
Typical Medicare-allowed amounts for these services range $41–$96 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azelastine Hcl | 59 | 29 |
| Fluticasone Propionate | 46 | 23 |
| Ciprofloxacin Hcl/Dexamethbrand: Ciprofloxacin-Dexamethasone | 44 | 37 |
| Omeprazole | 44 | 16 |
| Prednisone | 24 | 23 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 17 | 16 |
| Ipratropium Bromide | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$208 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2017-07-14
Frequently asked questions
- What is Jeffrey Hughes's NPI number?
- Jeffrey Hughes's National Provider Identifier (NPI) is 1811959547, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Hughes's specialty?
- Jeffrey Hughes is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jeffrey Hughes located?
- Jeffrey Hughes's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Jeffrey Hughes's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Hughes is (508) 856-4142.
- Does Jeffrey Hughes accept Medicare?
- Jeffrey Hughes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey Hughes's NPI active?
- Yes — Jeffrey Hughes's NPI (1811959547) is active in the NPPES registry as of the last update on 2017-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.