NPIMap

Individual provider Active NPI

Charles Hughes, MD

  • Colon & Rectal Surgery Physician
  • Scranton, PA
National Provider Identifier
1902807282
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD048367L Issued in PA
Practice address
743 Jefferson Ave Ste 104
Scranton, PA 18510-1636
Phone
(570) 344-9457
Fax
(570) 343-3731
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD048367L PA
Surgery Physician 208600000X 25MA06215200 NJ
Colon & Rectal Surgery Physician 208C00000X MD048367L PA Primary

Addresses

Primary practice location

743 Jefferson Ave Ste 104
Scranton, PA 18510-1636

Mailing address

610 Wyoming Ave
Kingston, PA 18704-3702
Phone (570) 288-5441

Other identifiers 1

IdentifierTypeStateIssuer
0016668600008MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charles.hughes.1@21771.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160816002664 PA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 1153311865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Pennsylvania State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scranton Quincy Clinic Company LLCGroup PAC ID 0143487389, 66 clinicians

Practice addresses (Care Compare)

315 S Main St
Old Forge, PA 18518-1606
Phone (570) 457-8364

743 Jefferson Ave
Suite 203
Scranton, PA 18510-1638
Phone (570) 491-8141

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 340-5079

Hospital & facility affiliations

  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy77
Upper gastrointestinal (GI) endoscopy for acid reflux33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06215200NJMDSurgery Physician
MD048367LPAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Quincy Clinic Company LLC CurrentSince Mar 20, 2023 Accepting new patients
Scranton Quincy Clinic Company LLC CurrentSince Mar 20, 2023 Accepting new patients
Wilkes-Barre Clinic Company LLC Surgery Past Accepting new patients
Vascular Diagnostic Center PC Past Accepting new patients

Locations

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

746 Jefferson Ave
Ste 104
Scranton, PA 18510
Phone (570) 207-0433

746 Jefferson Ave
Ste 203
Scranton, PA 18510
Phone (570) 344-9457

746 Jefferson Ave
Ste 303
Scranton, PA 18510
Phone (570) 207-0433

Interoperability endpoints

  • Direct secure messaging: charles.hughes.1@21771.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1902807282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE STE 104",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101636",
            "telephone_number": "570-344-9457",
            "fax_number": "570-343-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD048367L",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA06215200",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD048367L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016668600008",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.hughes.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "amrdirectaddress",
            "address_1": "743 Jefferson Ave Ste 104",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185101636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.