ERIN HOUGH MD
NPI 1013437706
Family Medicine in Palm Coast, FL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since June 22, 2017PECOS EnrolledAccepts Medicare Assignment

66.99/100

CMS Quality Rating

120 CYPRESS EDGE DR STE 202, PALM COAST, FL 32164(386) 589-4462 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 2, 2024, Aug 20, 2020, Jun 22, 2017 (3 updates tracked since 2017).

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About Erin Hough Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIN HOUGH MD (NPI 1013437706) is an individual family medicine provider in Palm Coast, Florida, licensed in Florida (ME137937) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and maintains a secondary practice location in Palm Coast.

NPPES Registry Identity

NPI1013437706

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameERIN HOUGHCredential: MD

Location Address120 CYPRESS EDGE DR STE 202Palm Coast, FL 32164-8454

Mailing Address120 Cypress Edge Dr Ste 202Palm Coast, FL 32164-8454 · (386) 589-4462

Phone(386) 589-4462

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2017

Enumeration DateJune 22, 2017

Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1013437706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME137937✔ Licensed in FL · 25064

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

120 CYPRESS EDGE DR STE 202, Palm Coast, FL 32164

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Secondary Practice Location 1

Location 121 Hospital Dr Ste 230Palm Coast, FL 32164-2458 · Phone (386) 586-3466

Other Identifiers 1

Medicaid102225400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erin Hough Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193084325

PECOS Enrollment IDI20190524000742

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

508 services255 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

179 services179 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

169 services169 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

168 services168 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

150 services150 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

99 services75 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

19 services13 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

15 services14 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

15 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

13 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

13 services13 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100118

Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County

Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100363

Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32164 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

66.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.21

Promoting Interoperability

100

Improvement Activities

Cost

47.75

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

94%644 patients4/55-star benchmark: 99%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

1 supplier13 claims16 services$4.54 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY E JIMENEZ ARNP

Nurse Practitioner (Adult Health)

120 CYPRESS EDGE DR STE 202, STE 101
PALM COAST, FL 32164

Flagler County (386) 586-4462

MISS JENNA JOSLYN PA-C

Physician Assistant

120 CYPRESS EDGE DR STE 202
PALM COAST, FL 32164

Flagler County (386) 586-4280

ERIN HOUGH MD
NPI 1013437706
Family Medicine in Palm Coast, FL

About Erin Hough Md NPPES

NPPES Registry Identity

Specialties & Licenses

Secondary Practice Location 1

Other Identifiers 1

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 13

Hospital Affiliations CMS Care Compare 3

Adventhealth Daytona Beach

Florida Hospital Flagler

Adventhealth Palm Coast Parkway

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Reported Quality Measures

Referred Medical Equipment & Supplies CMS DME claims

Other Providers at the Same Location NPPES 2

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