Physician

Charles Hughes, MD

According to 2025 Medicare claims, Charles Hughes, MD (NPI: 1902807282) practices colorectal surgery (formerly proctology) in the Scranton--Wilkes-Barre, PA market, with the plurality of this provider's patient population coming from Lackawanna, PA. This provider's primary affiliated billing organization is SCRANTON QUINCY CLINIC COMPANY LLC (NPI: 1508143074; TIN: 452672073) and primary practice location at 18510-1624. Hughes is affiliated with the CHSPSC ACO 13, LLC (ACO ID: A3723), participating under the MSSP model.

Hughes' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 177 traditional Medicare patients, billed 365 HCPCS/CPT codes, and received $41,559 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 113 prescription claims across 57 beneficiaries totaling $17,803 in drug costs, led by Pantoprazole Sodium (Pantoprazole Sodium). 2020 DME data shows 35 claims. Open Payments data shows 41 records totaling $718. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $105,537 to $41,559. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $18,925 and ending at $17,803. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	221	685	$105,537
2016	240	663	$95,188
2017	247	786	$129,157
2018	238	766	$95,068
2019	228	696	$104,096
2020	224	560	$84,557
2021	240	539	$71,775
2022	248	505	$64,446
2023	207	437	$50,773
2024	177	365	$41,559

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	93	169	$18,925
2016	71	119	$16,266
2017	26	36	$1,793
2018	32	58	$17,717
2019	32	78	$6,985
2020	27	98	$7,668
2021	29	78	$5,213
2022	41	77	$8,633
2023	55	94	$5,758
2024	57	113	$17,803

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	24	$2,093
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	69	$4,852
2019	N/R	11	$79
2020	N/R	35	$688
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	43	44	$186
45380	Biopsy of large bowel using a flexible endoscope	81	81	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	22	25	$67
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	41	$65
99221	Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes	20	22	$64

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Pantoprazole Sodium	Pantoprazole Sodium	13	690	$92
Tramadol Hcl	Tramadol Hcl	25	63	$48

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	41	$718	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Charles Hughes, MD?

Tedicare shows public-source Medicare data for Charles Hughes, MD (NPI 1902807282), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Charles Hughes, MD have ACO affiliation data?

Charles Hughes, MD is shown with ACO affiliation data for CHSPSC ACO 13, LLC (MSSP, ACO ID A3723).

What billing organization is linked to Charles Hughes, MD?

Charles Hughes, MD is linked to SCRANTON QUINCY CLINIC COMPANY LLC (billing NPI 1508143074) in the available physician profile data.

Does Charles Hughes, MD have Open Payments data?

Charles Hughes, MD has 41 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.