Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michael Hugus , PA

Physician Assistant • Boulder, CO

Active NPI 1306328877 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4745 Arapahoe Ave Ste 130
Boulder, CO 803031082

Call 3034432771 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4745 Arapahoe Ave Ste 130

Boulder, CO 803031082

Telephone 3034432771
Organization at the Same NPPES Address or Phone
Boulder Valley Hearing Associates Inc Facility NPI 1326668609

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Poudre Valley Medical Group Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Medicare patients

237 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $30,025 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $21,487 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

85 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$608 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michael Hugus has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michael Hugus as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Boulder and Colorado

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Boulder, CO (2024, 51 clinicians with data). Median for this group: 388. Middle half: 180 to 1,299.

More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Colorado (2024, 1,641 clinicians with data). Median for this group: 195. Middle half: 69 to 517.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Boulder, CO (2024, 51 clinicians with data). Median for this group: $31,287. Middle half: $12,705 to $53,615.

A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Colorado (2024, 1,641 clinicians with data). Median for this group: $15,616. Middle half: $6,273 to $34,912.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Boulder, CO (2024, 51 clinicians with data). Median for this group: $23,204. Middle half: $9,120 to $39,233.

A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Colorado (2024, 1,641 clinicians with data). Median for this group: $11,339. Middle half: $4,686 to $25,550.

Medicare Part D prescriptions

Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in Boulder, CO (2024, 66 clinicians with data). Median for this group: 215. Middle half: 83 to 463.

Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant in Colorado (2024, 2,034 clinicians with data). Median for this group: 194. Middle half: 63 to 625.

Part D drug cost

A lower Part D drug cost than 80% of clinicians listed under Physician Assistant in Boulder, CO (2024, 66 clinicians with data). Median for this group: $3,354. Middle half: $910 to $28,268.

A lower Part D drug cost than 70% of clinicians listed under Physician Assistant in Colorado (2024, 2,034 clinicians with data). Median for this group: $3,374. Middle half: $574 to $55,951.

100 active clinicians are listed under Physician Assistant with a practice address in Boulder, CO (3,767 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boulder

13% of these 100 clinicians have the CMS telehealth indicator.

68% of these 100 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2019–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
115 108 $175.03 $76.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
88 88 $222.00 $94.52
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
38 37 $278.13 $139.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
38 38 $247.68 $108.63
81003 Automated urinalysis test
28 27 $5.00 $2.20
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
22 12 $0.30 $0.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $338.00 $141.19
71046 X-ray of chest, 2 views
17 17 $69.00 $28.75
94640 Inhalation treatment for airway obstruction or sputum production
12 12 $42.00 $6.92

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 24 162 $157.97 24
Cephalexin Cephalexin 17 109 $72.00 16
Paxlovid Nirmatrelvir/Ritonavir 17 85 $0.00 17
Albuterol Sulfate Hfa Albuterol Sulfate 15 240 $355.58 15
Prednisone Prednisone 12 63 $22.72 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20190708002826

Enrollment State Jurisdiction

CO

PECOS Control ID

5294060646

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Poudre Valley Medical Group Llc

2101 Main St, Longmont, CO 805011406

Phone: 7207458020

Poudre Valley Medical Group Llc

2970 Arapahoe Rd, Lafayette, CO 800268054

Phone: 3034606010

Poudre Valley Medical Group Llc

4404 Barranca Ln, Castle Rock, CO 801047419

Phone: 7207335260

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Kacie Albertsen , DNP, APRN

Nurse Practitioner - Acute Care

NPI 1932982337

Doctor of Nursing Practice, Advanced Practice Registered Nurse

NPI 1649050048

Doctor of Audiology

NPI 1891713152

Doctor of Medicine (M.D.)

NPI 1821839028

Doctor of Audiology

Joshua Gumpert , PA-C

Physician Assistant

NPI 1922541986

Physician Assistant (Certified)

Tiana Lujan

Audiologist

NPI 1952883704

Career & Practice History

NPI enumerated August 31, 2018.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from September 2018 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1306328877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2018
Last Update: August 31, 2018
Sole Proprietor: No

Other Physician Assistants in Boulder

All Physician Assistants in Boulder

Mailing Address

4745 Arapahoe Ave Ste 130

Boulder, CO 803031082

Phone: 3034432771

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.