Joan M Mchugh
Nurse Practitioner • Middletown, RI
1360 W Main Rd
Middletown, RI 028426301
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 19, 2006; this date does not establish years in practice.
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Published CMS data list 108 Original Medicare Part B services in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Published rows only; this is not a quality measure.
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Published Part B service records, 2020:
- 99214 — Established patient outpatient office visit: 38 service units.
- 99204 — New patient outpatient office visit: 20 service units.
- 99203 — New patient outpatient office visit: 19 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2019 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2020). CPT notice
See all 5 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 31 Medicare Part D prescriptions, including refills, in 2020.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020. Published rows only; this is not a quality measure.
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Published Part D records, 2020:
- Cephalexin — 16 prescription fills, including refills.
- Prednisone — 15 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 21 in 2019 to 108 in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2020.
Practice Location & Contact Primary Location
1360 W Main Rd
Middletown, RI 028426301
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Warwick, RI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $9,406 in 2020
The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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, 2020.
Paid by Medicare
About $6,428 in 2020
The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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, 2020.
30-day fills
31 standardized 30-day fills in 2020
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
$147 in 2020
The total cost of these prescriptions in 2020, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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, 2020.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $13.22 in 2022
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2022.
NPI first issued
2006
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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?”
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.
Compared with the same specialty in Middletown and Rhode Island
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Joan Mchugh are from 2020.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Joan Mchugh are from 2020.
18 active clinicians are listed under Nurse Practitioner with a practice address in Middletown, RI (391 in Rhode Island).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Middletown
33.3% of these 18 clinicians have the CMS telehealth indicator.
77.8% of these 18 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 414% from 21 in 2019 to 108 in 2020.
- 2019: 21
- 2020: 108
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Medicare-allowed amount
Medicare-allowed amount increased 267% from $2,566 in 2019 to $9,406 in 2020.
- 2019: $2,566
- 2020: $9,406
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Paid by Medicare
Paid by Medicare increased 214% from $2,045 in 2019 to $6,428 in 2020.
- 2019: $2,045
- 2020: $6,428
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 82% from 172 in 2016 to 31 in 2020.
- 2016: 172
- 2017: 348
- 2018: 284
- 2019: 16
- 2020: 31
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30-day fills
30-day fills decreased 83% from 180 in 2016 to 31 in 2020.
- 2016: 180
- 2017: 521
- 2018: 463
- 2019: 22
- 2020: 31
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Part D drug cost
Part D drug cost decreased 89% from $1,363 in 2016 to $147 in 2020.
- 2016: $1,363
- 2017: $7,145
- 2018: $8,630
- 2019: $224
- 2020: $147
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2022 only.
Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Medicare Part D Prescribers (2020), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $13.22.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $13.22 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2019 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, 2019–2020; 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 |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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38 | 35 | $373.33 | $97.10 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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20 | 20 | $396.23 | $146.65 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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19 | 19 | $369.29 | $94.06 |
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81002
Urinalysis, manual test
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17 | 15 | $7.00 | $3.48 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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14 | 14 | $363.87 | $66.91 |
Source: CMS Part B by Provider and Service, 2020; 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 2020.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 16 | 171 | $107.73 | 16 |
| Prednisone | Prednisone | 15 | 104 | $38.83 | 14 |
Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-04-14NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
17 Airport Rd
Warwick, RI 028891001
Phone: 4016062520
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Nurse Practitioner - Family
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1360 W MAIN RD, MIDDLETOWN, RI 028426301 (Tel: 0146063110)
Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541 (Tel: 4014446779)
NPI status registered as active in NPPES database
Registered at 319 SOUTHBRIDGE ST, STE 100, AUBURN, MA 015012541 (Tel: 5089097799)
Registered at 100 SOUTH ST, SUITE 108, SOUTHBRIDGE, MA 015504051 (Tel: 5087643194)
Recorded as JOAN MCHUGH
Nurse Practitioner (license number reported to NPPES: MA 149489)
NPI status registered as active in NPPES database
Registered at 100 SOUTH ST, SUITE 108, SOUTHBRIDGE, MA 015504051 (Tel: 5087643194)
Registered at P. O. BOX 40, SOUTHBRIDGE, MA 015500040 (Tel: 5089097799)
Recorded as JOAN MCHUGH
Nurse Practitioner (license number reported to NPPES: MA 149489)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Middletown
- Natalie Driscoll, NP
- Olga Harbar, NP
- Holly Komar, NP
- Anita Tzovolos, APRN, ATC
- Joanna Lanz, NP
- Chelsea Culhane
Mailing Address
117 Ellenfield St Ste 101
Providence, RI 029054541
Phone: 4014446779