CHARLES HUGHES (MD) – Colon & Rectal Surgery Physician, NPI 1902807282
Colon & Rectal Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
167 COLORECTAL SURGERY (PROCTOLOGY) in PA
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Provider Addresses for CHARLES HUGHES (MD)
Intermountain Medical Group, 610, Wyoming Avenue, Kingston, Luzerne County, Pennsylvania, 18704, United States
KINGSTON, PA 187043702
Phone: (570) 288-5441
Fax: (570) 288-5842
Type: Mailing
104, Jefferson Avenue, Downtown, Scranton, Lackawanna County, Pennsylvania, 18510, United States
SCRANTON, PA 185101636
Phone: (570) 344-9457
Fax: (570) 343-3731
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $1,514.
Total Amount is formed as General ($1,514) + Research ($0) + Ownership ($0) = $1,514.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($349).
Total Amount
$1,514
General + Research + Ownership
Payments
90
Total payment records
General Amount
$1,514
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $349 |
| Janssen Biotech, Inc. | $238 |
| Lilly USA, LLC | $151 |
| AIMMUNE THERAPEUTICS, INC. | $110 |
| NESTLE HEALTHCARE NUTRITION INC. | $98 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-08-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160816002664 | I | Colorectal Surgery (Proctology) | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 116 | 35 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 80 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 27 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 38 | 38 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 33 | 31 | $0 |
Insurance plans in this area (ZIP 18704)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| COLORECTAL SURGERY (PROCTOLOGY) | NJ | 45385 | Removal of polyps or growths of large bowel using an endoscope | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery, Peripheral Vascular Disease | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | NY | |
| General Surgery | PA | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | PA |
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