Active NPI 1629079660 Individual Practitioner Male Practitioner

Dr. Thomas B Hughes , MD

Orthopaedic Surgery • Pittsburgh, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Hughes, MD is a certified Orthopaedic Surgery practicing in Pittsburgh, PA. With approximately 30 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 1996, Dr. Hughes delivers high-quality medical care to the local community at 9104 BABCOCK BLVD.

Dr. Hughes maintains professional affiliations with Keystone Rehabilitation Systems Inc, Rehab-Bray Llc, Upmc Community Medicine Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9104 Babcock Blvd
Suite 5113

Pittsburgh, PA 15237

Telephone 4127487412

Fax 4127487412

Associated Practice Facility / Clinic

🏢 Tri Rivers Surgical Associates, Inc Facility NPI 1588667679

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Pittsburgh, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +9.3 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

147 Specialists

Practicing in Pittsburgh, PA (1345 Statewide)

Telehealth Adoption Rate

3.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hughes (30 Years) 30 Yrs

Pittsburgh Specialty Average (20.7 Years) 20.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,140	249	$8.00	$0.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	325	254	$230.95	$119.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	165	165	$357.73	$159.06
20610 Aspiration and/or injection of fluid from large joint	127	102	$247.56	$66.49
20550 Injection into tendon or ligament	107	88	$184.26	$55.75
99213 Established patient office or other outpatient visit, typically 15 minutes	79	68	$153.91	$85.73
71046 X-ray of chest, 2 views	69	63	$124.00	$20.98
20600 Aspiration and/or injection of fluid from small joint	67	59	$191.06	$54.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	54	$307.10	$167.81
73030 X-ray of shoulder, minimum of 2 views	61	41	$69.08	$31.07
72110 X-ray of lower and sacral spine, minimum of 4 views	51	49	$94.00	$36.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$430.50	$209.69
64721 Release and/or relocation of hand nerve	35	33	$1192.11	$400.90
20605 Aspiration and/or injection of medium joint or joint capsule	30	23	$183.60	$50.35
23472 Prosthetic repair of shoulder joint, total shoulder	25	25	$4320.82	$1302.05
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$65.00	$26.78
73140 X-ray of finger, minimum of 2 views	20	13	$73.10	$34.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$231.16	$105.32
72050 X-ray of upper spine, 4 or 5 views	17	17	$89.00	$37.41
26055 Incision of tendon covering	16	16	$813.00	$253.91
73502 X-ray of hip, 2-3 views	15	15	$168.00	$33.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,000	255	$8.00	$1.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	248	$222.00	$122.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$346.00	$160.16
20610 Aspiration and/or injection of fluid from large joint	114	95	$238.04	$66.29
20550 Injection into tendon or ligament	109	101	$177.96	$57.17
73030 X-ray of shoulder, minimum of 2 views	95	63	$44.01	$18.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	74	$300.00	$167.50
20600 Aspiration and/or injection of fluid from small joint	65	54	$181.09	$54.87
99213 Established patient office or other outpatient visit, typically 15 minutes	58	51	$149.00	$87.42
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	53	53	$420.00	$211.00
71046 X-ray of chest, 2 views	48	46	$124.00	$22.14
64721 Release and/or relocation of hand nerve	48	45	$1159.00	$401.37
72110 X-ray of lower and sacral spine, minimum of 4 views	34	33	$94.00	$36.08
20605 Aspiration and/or injection of medium joint or joint capsule	33	29	$196.36	$54.84
72100 X-ray of lower and sacral spine, 2-3 views	30	26	$65.00	$27.84
73140 X-ray of finger, minimum of 2 views	24	18	$62.75	$30.16
23472 Prosthetic repair of shoulder joint, total shoulder	23	23	$4409.00	$1414.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$222.00	$108.74
26055 Incision of tendon covering	20	16	$813.00	$250.66
73502 X-ray of hip, 2-3 views	18	18	$168.00	$34.49
73100 X-ray of wrist, 2 views	16	12	$45.31	$18.75
72040 X-ray of upper spine, 2-3 views	16	16	$64.00	$27.53
72050 X-ray of upper spine, 4 or 5 views	14	14	$89.00	$38.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,561	222	$8.00	$1.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	218	$222.00	$124.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$346.00	$162.78
73030 X-ray of shoulder, minimum of 2 views	119	84	$46.94	$20.67
20550 Injection into tendon or ligament	104	88	$186.52	$58.43
20610 Aspiration and/or injection of fluid from large joint	99	83	$239.84	$68.26
99213 Established patient office or other outpatient visit, typically 15 minutes	65	59	$149.00	$88.44
64721 Release and/or relocation of hand nerve	57	50	$1220.00	$413.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	55	55	$420.00	$205.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	51	$300.00	$170.72
20600 Aspiration and/or injection of fluid from small joint	51	41	$163.61	$47.03
20605 Aspiration and/or injection of medium joint or joint capsule	35	28	$185.14	$54.05
71046 X-ray of chest, 2 views	34	33	$124.00	$22.46
73100 X-ray of wrist, 2 views	30	21	$55.30	$24.04
72100 X-ray of lower and sacral spine, 2-3 views	25	25	$65.00	$28.35
73564 X-ray of knee, 4 or more views	22	14	$73.73	$34.57
73140 X-ray of finger, minimum of 2 views	21	16	$45.71	$20.56
72040 X-ray of upper spine, 2-3 views	20	20	$64.00	$26.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$222.00	$110.28
73120 X-ray of hand, 2 views	17	14	$47.94	$20.36
26055 Incision of tendon covering	16	13	$813.00	$234.72
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$4409.00	$1437.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,635	217	$8.00	$1.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	338	248	$222.00	$127.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	186	186	$346.00	$166.12
73030 X-ray of shoulder, minimum of 2 views	126	87	$54.84	$24.31
20610 Aspiration and/or injection of fluid from large joint	115	93	$269.15	$71.26
99213 Established patient office or other outpatient visit, typically 15 minutes	90	76	$149.00	$89.25
20550 Injection into tendon or ligament	68	61	$187.06	$56.70
20600 Aspiration and/or injection of fluid from small joint	64	51	$160.64	$49.32
20605 Aspiration and/or injection of medium joint or joint capsule	44	38	$165.68	$50.50
73100 X-ray of wrist, 2 views	43	20	$46.72	$19.66
64721 Release and/or relocation of hand nerve	42	38	$1186.60	$415.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	31	$300.00	$175.52
73140 X-ray of finger, minimum of 2 views	26	18	$51.15	$23.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$222.00	$110.76
23472 Prosthetic repair of shoulder joint, total shoulder	24	24	$4409.00	$1454.67
73120 X-ray of hand, 2 views	23	16	$47.52	$19.73
26055 Incision of tendon covering	22	20	$813.00	$231.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$420.00	$219.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,652	196	$7.98	$1.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	336	249	$220.53	$106.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	161	161	$337.60	$160.30
20610 Aspiration and/or injection of fluid from large joint	124	93	$239.35	$65.00
73030 X-ray of shoulder, minimum of 2 views	115	74	$55.24	$23.88
99213 Established patient office or other outpatient visit, typically 15 minutes	86	70	$145.93	$73.88
20600 Aspiration and/or injection of fluid from small joint	79	66	$173.52	$49.57
20605 Aspiration and/or injection of medium joint or joint capsule	49	41	$171.92	$46.12
64721 Release and/or relocation of hand nerve	39	33	$1159.00	$391.62
73140 X-ray of finger, minimum of 2 views	32	23	$53.75	$23.71
73110 X-ray of wrist, minimum of 3 views	29	19	$69.45	$29.56
20551 Injection into tendon at attachment to bone or muscle	25	14	$160.00	$40.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$218.92	$106.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$295.83	$139.38
26055 Incision of tendon covering	23	19	$813.00	$226.51
73120 X-ray of hand, 2 views	22	15	$52.91	$21.42
73100 X-ray of wrist, 2 views	18	16	$62.67	$26.35
20550 Injection into tendon or ligament	17	16	$177.71	$53.30
73130 X-ray of hand, minimum of 3 views	16	12	$58.50	$22.55
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$4409.00	$1486.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,610	208	$7.96	$1.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	333	238	$220.00	$106.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	182	182	$335.00	$161.04
73030 X-ray of shoulder, minimum of 2 views	168	104	$49.90	$19.76
20610 Aspiration and/or injection of fluid from large joint	116	96	$241.24	$63.49
99213 Established patient office or other outpatient visit, typically 15 minutes	84	69	$145.00	$72.28
20600 Aspiration and/or injection of fluid from small joint	69	60	$179.23	$49.58
73140 X-ray of finger, minimum of 2 views	56	40	$52.79	$22.25
64721 Release and/or relocation of hand nerve	52	49	$1159.00	$405.14
20605 Aspiration and/or injection of medium joint or joint capsule	47	43	$182.68	$49.44
20550 Injection into tendon or ligament	34	30	$191.74	$54.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	31	$295.00	$142.50
73100 X-ray of wrist, 2 views	27	17	$49.44	$19.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$215.00	$105.61
23472 Prosthetic repair of shoulder joint, total shoulder	20	20	$4409.00	$1477.62
73110 X-ray of wrist, minimum of 3 views	19	17	$60.74	$23.97
26055 Incision of tendon covering	15	12	$813.00	$221.91
64718 Release and/or relocation of elbow nerve	11	11	$1753.09	$589.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,545	190	$8.00	$1.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	217	$208.06	$103.70
73030 X-ray of shoulder, minimum of 2 views	155	91	$51.08	$19.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$316.15	$158.58
20610 Aspiration and/or injection of fluid from large joint	123	94	$230.96	$59.96
99213 Established patient office or other outpatient visit, typically 15 minutes	107	87	$138.50	$70.06
73140 X-ray of finger, minimum of 2 views	68	41	$48.59	$19.29
20600 Aspiration and/or injection of fluid from small joint	58	53	$177.26	$45.24
20605 Aspiration and/or injection of medium joint or joint capsule	49	41	$168.61	$43.49
73110 X-ray of wrist, minimum of 3 views	44	28	$61.45	$23.05
20550 Injection into tendon or ligament	42	36	$170.36	$48.88
64721 Release and/or relocation of hand nerve	33	30	$1159.00	$385.84
73100 X-ray of wrist, 2 views	23	20	$51.83	$20.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$279.62	$140.25
23472 Prosthetic repair of shoulder joint, total shoulder	18	18	$4409.00	$1431.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$204.60	$104.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,216	150	$8.00	$1.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	153	$205.00	$101.69
99213 Established patient office or other outpatient visit, typically 15 minutes	161	132	$137.00	$69.43
73030 X-ray of shoulder, minimum of 2 views	125	79	$43.80	$16.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$312.00	$157.35
20610 Aspiration and/or injection of fluid from large joint	93	77	$218.84	$59.22
20600 Aspiration and/or injection of fluid from small joint	53	44	$171.49	$45.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$203.00	$103.75
64721 Release and/or relocation of hand nerve	48	38	$1159.00	$391.27
73140 X-ray of finger, minimum of 2 views	46	28	$45.83	$17.79
20550 Injection into tendon or ligament	37	29	$167.59	$47.76
73100 X-ray of wrist, 2 views	29	15	$47.62	$17.52
20605 Aspiration and/or injection of medium joint or joint capsule	23	20	$190.17	$47.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$276.00	$139.09
73110 X-ray of wrist, minimum of 3 views	19	13	$48.11	$17.71
23472 Prosthetic repair of shoulder joint, total shoulder	16	15	$4409.00	$1445.96
64718 Release and/or relocation of elbow nerve	15	13	$1607.00	$557.77
26055 Incision of tendon covering	14	13	$813.00	$245.26

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD070428L

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0019055570003 (PA)

Hospital & Practice Group Affiliations

Keystone Rehabilitation Systems Inc

203 High Pointe Dr, Seven Fields, PA 160467921

Phone: 7247421250

Upmc Community Medicine Inc

9104 Babcock Blvd, Pittsburgh, PA 152375866

Phone: 4123665454

Upmc Community Medicine Inc

1600 Coraopolis Rd, Coraopolis, PA 151084307

Phone: 4122694114

Upmc Community Medicine Inc

4145 William Penn Hwy, Monroeville, PA 151462662

Phone: 8774710935

Keystone Rehabilitation Systems Inc

203 High Pointe Dr, Seven Fields, PA 160467921

Phone: 7247421250

Upmc Community Medicine Inc

875 N Hermitage Rd, Hermitage, PA 161483278

Upmc Community Medicine Inc

4100 Johnson Rd, Steubenville, OH 439522372

Phone: 8774710935

Upmc Community Medicine Inc

111 Hazel Ln, Sewickley, PA 151431253

Phone: 4127487444

Rehab-Bray Llc

2716 Sunset Blvd, Steubenville, OH 439521155

Phone: 7402640772

Upmc Community Medicine Inc

2 Hot Metal St, Pittsburgh, PA 152032348

Upmc Community Medicine Inc

111 Hazel Ln, Sewickley, PA 151431253

Phone: 7247204600

Upmc Community Medicine Inc

8511 Main St, Kinsman, OH 444289333

Phone: 3308761662

Upmc Community Medicine Inc

4145 William Penn Hwy, Monroeville, PA 151462662

Phone: 8774710935

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Doctor of Medicine (M.D.)

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Dr. Vasanti Majmudar , MD

Obstetrics & Gynecology

NPI 1013964097

Doctor of Medicine (M.D.)

James Craig

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1023235207

Dr. Richard Herman , MD

Student in an Organized Health Care Education/Training Program

NPI 1033558978

Doctor of Medicine (M.D.)

Judith Esman

Internal Medicine

NPI 1053332304

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 29, 2016

Registered at 9104 BABCOCK BLVD, SUITE 5113, PITTSBURGH, PA 15237 (Tel: 4127487412)

📍

Updated Business Mailing Address December 29, 2016

Registered at 2 HOT METAL ST, QUANTUM ONE, SUITE 001, PITTSBURGH, PA 152032348 (Tel: 4126473087)

👤

Provider Name / Credentials Updated December 29, 2016

Recorded as THOMAS HUGHES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2016

Orthopaedic Surgery (License #MD070428L in PA)

🟢

Initial NPI Registration & Enumeration August 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629079660

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 01, 2005

Last Update: December 29, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2 Hot Metal St, Quantum One, Suite 001

Pittsburgh, PA 152032348

Phone: 4126473087

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.