NPPES file of Aug 9, 2026

Madeline Marie Paczynski Hughes, PA

Physician Assistant · Saint Louis, MO

Madeline Marie Paczynski Hughes, PA is a physician assistant with a practice address in Saint Louis, Missouri, and NPI 1992385710, issued on Apr 14, 2021. Check the license (Missouri 2022004607, as entered in NPPES) with the Missouri board that licenses this profession; 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
1992385710
Name
Madeline Marie Paczynski Hughes
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License number
2022004607 MO
Self-reported in NPPES; status is on the state search
Practice location
4488 Forest Park Ave, Saint Louis, MO 63108
Phone
(314) 286-1967
Enumerated
Apr 14, 2021
Record last updated
Jan 18, 2026
Fax
(314) 286-1985
Medicaid ID
220106937 MO
Medicare enrollment
Enrolled (PECOS I20220316000688); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
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 4488 Forest Park Ave

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

  1. Dana Ankney, MDHospitalist Physician1134318751
  2. Jay Epstein, MDPediatrics Physician1760437933
  3. Carliss Garrett, ANPAdult Health Nurse Practitioner1154680288
  4. Megan Garvey-Whatley, MDPediatrics Physician1194394296
  5. Nupur Ghoshal, MDNeurology Physician1205987138
  6. Elizabeth Harrison, MDPediatrics Physician1225216054

Verify Madeline Marie Paczynski Hughes in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 2022004607
    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
Find the Missouri 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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32% fewer Medicare Part D claims than the average physician assistant in 2024

564 Medicare Part D claims for 125 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 3% of claims.

  1. Madeline Hughes564
  2. Specialty average830

Most prescribed

  1. Donepezil Hcl198 claims
  2. Memantine Hcl79 claims
  3. Escitalopram Oxalate65 claims
  4. Quetiapine Fumarate57 claims
  5. Rivastigmine28 claims
  6. Sertraline Hcl27 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): 79.3 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 score71.5
  2. Costout of 100 · 30%59.5
  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).

Industry payments in 2024: $831.25

6 payments; by number, the most common kind was food and beverage; the largest payer was Eisai Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Madeline Hughes$831.25
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Washington UniversitySaint Louis, MO

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

Madeline Marie Paczynski Hughes among 1,790 physician assistant records in Missouri

Madeline Marie Paczynski Hughes, PA is one of 1,790 physician assistant records with a practice address in Missouri. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 63% of them.

  • NPI issued2021 · 63% of these records are older, 32% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 70% of these records are
  • Graduated2021 · median 2019 among the 1,250 with a school on file
  • Record last updated2026 · 32% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

498 physician assistant records list a practice address in Saint Louis

They are 498 of the 27,605 NPPES records with a practice address in Saint Louis, and 1,790 physician assistant records in Missouri.

The 8 physician assistant records with the nearest ZIP codes

  1. Chelsey Garrison, PASaint Louis, MO 631081104212117
  2. Kayla Jarrett, PASaint Louis, MO 631081114763158
  3. Shelby Martin, PASaint Louis, MO 631081467183772
  4. Joseph Soetaert, PASaint Louis, MO 631081538485842
  5. Gillian Traino, PA-CSaint Louis, MO 631081134896558
  6. Hannah Willis, PASaint Louis, MO 631081962961375
  7. Carmen Wilson, PASaint Louis, MO 631081780715896
  8. Nicole Biddinger, PA-CSaint Louis, MO 631071154972958

Common questions

What is Madeline Marie Paczynski Hughes, PA's NPI number?

Madeline Marie Paczynski Hughes, PA's National Provider Identifier (NPI) is 1992385710, issued on Apr 14, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Madeline Marie Paczynski Hughes, PA located?

The NPPES record lists a practice address at 4488 Forest Park Ave, Saint Louis, MO, 63108. Phone: (314) 286-1967. Providers update this record themselves, so call before visiting.

How can I verify Madeline Marie Paczynski Hughes, PA's license?

NPPES lists Missouri license number 2022004607, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

How much does Madeline Marie Paczynski Hughes, PA prescribe under Medicare Part D?

In 2024, Madeline Marie Paczynski Hughes, PA had 564 Medicare Part D claims for 125 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Madeline Marie Paczynski Hughes, PA's MIPS final score?

The 2023 MIPS final score is 79.3 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.