NPPES file of Aug 9, 2026

Hugo James Pfaeffle, MD,PHD

Orthopaedic Hand Surgery Physician · Mars, PA

Hugo James Pfaeffle, MD,PHD is an orthopaedic hand surgery physician with a practice address in Mars, Pennsylvania, and NPI 1609841139, issued on Feb 20, 2006. Check the license (Pennsylvania MD 425835, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1609841139
Name
Hugo James Pfaeffle
Credential
MD,PHD
Primary taxonomy
Orthopaedic Hand Surgery Physician 207XS0106X
License numbers
MD 425835 PA
MD425835 PA
Self-reported in NPPES; status is on the state search
Practice location
6998 Crider RD, Mars, PA 16046
Phone
(727) 779-7000
Enumerated
Feb 20, 2006
Record last updated
Feb 27, 2023
Fax
(412) 367-7079
Medicaid IDs
1012525240002 PA
1012525240003 PA
1012525240004 PA
Medicare enrollment
Enrolled (PECOS I20050414000435); accepts Medicare assignment
Medical or professional school
University Of Pittsburgh School Of Medicine, 2000
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 6998 Crider RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Robert Irwin, OTR/LHand Occupational Therapist1851354963
  2. Shayla Jackson, PA-CPhysician Assistant1679824064
  3. Anna Kalamasz, CRNPFamily Nurse Practitioner1538582440
  4. Magdalena Liebe, MDFamily Medicine Physician1588622427
  5. Halee Onder, PA-CMedical Physician Assistant1508851312
  6. Thomas Perry, PTAPhysical Therapy Assistant1649542986

Verify Hugo James Pfaeffle in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD 425835
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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25% fewer Medicare Part D claims than the average orthopaedic hand surgery physician in 2024

140 Medicare Part D claims for 114 beneficiaries, against an average of 186 among the 2,203 providers of this specialty who prescribed in Part D. 14 claims were for opioids.

  1. Hugo Pfaeffle140
  2. Specialty average186

Most prescribed

  1. Methylprednisolone62 claims
  2. Meloxicam18 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 82.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score77.7
  2. Costout of 100 · 30%64.4
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Phoenix Rehabilitation And Health Services IncCranberry Twp, PA
  2. Upmc Multispecialty Group IncSlippery Rock, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Hugo James Pfaeffle among 118 orthopaedic hand surgery physician records in Pennsylvania

Hugo James Pfaeffle, MD,PHD is one of 118 orthopaedic hand surgery physician records with a practice address in Pennsylvania. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.

  • NPI issued2006 · 9% of these records are older, 52% newer
  • In a Medicare fileYes · 90% of these records are
  • In the CMS Doctors and Clinicians fileYes · 85% of these records are
  • Graduated2000 · median 2003 among the 100 with a school on file
  • Record last updated2023 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0106X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Hand Surgery Physician providers in Pennsylvania

There are 118 orthopaedic hand surgery physician records in Pennsylvania.

The 8 orthopaedic hand surgery physician records with the nearest ZIP codes

  1. Neil Singh, DONew Castle, PA 161051609132398
  2. Lance Brunton, MDN Huntingdon, PA 156421578778676
  3. Marybeth Cermak, M.D.Erie, PA 165071730109513
  4. John Dupaix, M.D.Erie, PA 165071972860351
  5. Zachary Dusckas, M.D.Erie, PA 165071336591239
  6. Jessica Hawken, MDErie, PA 165071851823769
  7. John Hood, M.D.Erie, PA 165071225051865
  8. John Lubahn, M.D.Erie, PA 165071427071042

Common questions

What is Hugo James Pfaeffle, MD,PHD's NPI number?

Hugo James Pfaeffle, MD,PHD's National Provider Identifier (NPI) is 1609841139, issued on Feb 20, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Hugo James Pfaeffle, MD,PHD located?

The NPPES record lists a practice address at 6998 Crider RD, Mars, PA, 16046. Phone: (727) 779-7000. Providers update this record themselves, so call before visiting.

How can I verify Hugo James Pfaeffle, MD,PHD's license?

NPPES lists Pennsylvania license number MD 425835, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Hugo James Pfaeffle, MD,PHD prescribe under Medicare Part D?

In 2024, Hugo James Pfaeffle, MD,PHD had 140 Medicare Part D claims for 114 beneficiaries; the average among orthopaedic hand surgery physician prescribers was 186. Part D covers Medicare prescriptions only.

What is Hugo James Pfaeffle, MD,PHD's MIPS final score?

The 2023 MIPS final score is 82.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.