Active NPI 1902807282 Individual Practitioner Male Practitioner

Dr. Charles Hughes , MD

Colon & Rectal Surgery • Scranton, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Hughes, MD is a certified Colon & Rectal Surgery practicing in Scranton, PA. With approximately 36 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 1990, Dr. Hughes delivers high-quality medical care to the local community at 743 JEFFERSON AVE STE 104.

Dr. Hughes is affiliated with Scranton Quincy Clinic Company Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, follow-up hospital inpatient care per day, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

743 Jefferson Ave Ste 104

Scranton, PA 185101636

Telephone 5703449457

Fax 5703433731

Associated Practice Facility / Clinic

🏢 Scranton Clinic Company Llc Facility NPI 1912206723

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Scranton, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs Matches City Avg

City Avg: 36.0 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Scranton, PA (126 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hughes (36 Years) 36 Yrs

Scranton Specialty Average (36.0 Years) 36.0 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
45380 Biopsy of large bowel using an endoscope	81	81	$525.00	$108.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	18	$100.00	$47.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	44	43	$670.00	$236.60
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	37	$360.00	$100.85
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$125.00	$87.44
99221 Initial hospital inpatient care per day, typically 30 minutes	22	20	$325.00	$79.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	116	35	$100.00	$48.19
45380 Biopsy of large bowel using an endoscope	80	80	$525.00	$145.44
99213 Established patient office or other outpatient visit, typically 15 minutes	39	27	$125.00	$87.50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	38	$360.00	$102.38
99221 Initial hospital inpatient care per day, typically 30 minutes	33	31	$325.00	$78.76
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$670.00	$214.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$200.00	$108.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$325.00	$127.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	129	51	$100.00	$36.64
45380 Biopsy of large bowel using an endoscope	94	94	$525.00	$146.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$325.00	$132.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	33	$360.00	$99.03
99213 Established patient office or other outpatient visit, typically 15 minutes	33	25	$125.00	$87.00
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	29	$670.00	$240.59
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$325.00	$98.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$175.00	$66.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$200.00	$110.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	134	52	$100.00	$38.02
45380 Biopsy of large bowel using an endoscope	83	82	$525.00	$145.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	70	$325.00	$134.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	41	$360.00	$112.59
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$125.00	$88.34
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	25	$670.00	$249.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	19	$175.00	$71.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$200.00	$111.29
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$325.00	$99.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	167	67	$100.00	$39.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	72	72	$325.00	$138.74
45380 Biopsy of large bowel using an endoscope	72	71	$525.00	$185.19
99213 Established patient office or other outpatient visit, typically 15 minutes	40	31	$125.00	$74.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$200.00	$106.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	17	$175.00	$72.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$200.00	$107.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	210	81	$100.00	$39.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	106	96	$325.00	$136.70
99213 Established patient office or other outpatient visit, typically 15 minutes	71	35	$125.00	$72.17
45380 Biopsy of large bowel using an endoscope	66	61	$525.00	$136.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	30	$175.00	$72.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	21	$670.00	$248.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$200.00	$106.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$200.00	$106.83
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$490.00	$175.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	262	103	$120.71	$38.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	112	108	$289.64	$134.98
99213 Established patient office or other outpatient visit, typically 15 minutes	66	42	$153.64	$70.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	40	$156.64	$71.79
45380 Biopsy of large bowel using an endoscope	47	46	$1250.53	$165.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$178.70	$105.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$220.00	$99.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1234.55	$260.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	273	92	$150.00	$70.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	100	96	$280.00	$133.06
45380 Biopsy of large bowel using an endoscope	40	38	$1300.00	$138.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	16	$125.00	$38.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	23	$225.00	$103.82
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$163.00	$68.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$170.22	$100.58
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$1000.00	$340.94
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$150.00	$18.77
46600 Diagnostic examination of the anus using an endoscope	17	16	$200.00	$76.25
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	16	$1360.00	$258.93
44120 Partial removal of small bowel	16	16	$3700.00	$985.24

Medical Specialties & State Licenses

CMS Verified: 2022-01-13

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License PA MD048367L

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

State License PA MD048367L

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NJ 25MA06215200

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0016668600008 (PA)

Hospital & Practice Group Affiliations

Scranton Quincy Clinic Company Llc

315 S Main St, Old Forge, PA 185181606

Phone: 5704578364

Scranton Quincy Clinic Company Llc

746 Jefferson Ave, Scranton, PA 185101624

Phone: 5703405079

Scranton Quincy Clinic Company Llc

743 Jefferson Ave, Scranton, PA 185101638

Phone: 5704918141

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. John Mcgeehan , MD

Internal Medicine

NPI 1366426181

Doctor of Medicine (M.D.)

Dr. Vikas Khurana , MD

Internal Medicine - Gastroenterology

NPI 1568419760

Doctor of Medicine (M.D.)

Dr. Carmen Brutico , MD

Internal Medicine

NPI 1588632327

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2022

Surgery (License #MD048367L in PA)

📍

Updated Practice Location May 12, 2020

Registered at 743 JEFFERSON AVE STE 104, SCRANTON, PA 185101636 (Tel: 5703449457)

📍

Updated Business Mailing Address May 12, 2020

Registered at 610 WYOMING AVE, KINGSTON, PA 187043702 (Tel: 5702885441)

✅

NPI Profile Active March 24, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 24, 2011

Registered at 668 MAIN ST, STE 4, LUMBERTON, NJ 080485016 (Tel: 6092677050)

📍

Updated Business Mailing Address March 24, 2011

Registered at 2 EVES DR, SUITE 109, MARLTON, NJ 080533193 (Tel: 8566696061)

👤

Provider Name / Credentials Updated March 24, 2011

Recorded as CHARLES HUGHES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2011

Surgery (License #25MA06215200 in NJ)

🟢

Initial NPI Registration & Enumeration August 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902807282

Entity Type:

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

Enumeration Date: August 09, 2005

Last Update: January 13, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

610 Wyoming Ave

Kingston, PA 187043702

Phone: 5702885441

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.