DR. JAMES TURNER HUGHEY III D.O.
NPI 1033438825
Orthopaedic Surgery - Sports Medicine in Huntsville, AL

Active since May 19, 2010PECOS EnrolledAccepts Medicare Assignment
74.7/100
CMS Quality Rating
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801(256) 539-2728(256) 539-2666 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Turner Hughey Iii D.o. NPPES

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

DR. JAMES TURNER HUGHEY III D.O. (NPI 1033438825) is an individual sports medicine provider in Huntsville, Alabama, licensed in Alabama (DO1426) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1033438825
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. JAMES TURNER HUGHEY IIICredential: D.O.
Location Address927 FRANKLIN ST SEHuntsville, AL 35801-4306
Mailing Address927 Franklin St SeHuntsville, AL 35801-4306 · (256) 539-2728 · Fax (256) 539-2666
Fax(256) 539-2666
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMay 19, 2010
Last NPPES UpdateMay 6, 2024
NPPES CertifiedMay 6, 2024
NPI 1033438825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in AL · DO1426
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License DO1426 (AL)
927 FRANKLIN ST SE, Huntsville, AL 35801

Other Identifiers 3

Other511-51629AL · Bcbs
Other511-52151AL · Bcbs
Medicaid162805AL

Accepted 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

Dr. James Turner Hughey Iii D.o. 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 ID2466695879
PECOS Enrollment IDI20140919000797
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 23

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

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,922 services321 patients
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,080 services14 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
632 services322 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.
457 services352 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
417 services278 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
221 services160 patients

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.

74.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality56.47
Promoting Interoperability98
Improvement Activities40
Cost60.86

Reported Quality Measures

Advance Care Plan
18%1,119 patients1/55-star benchmark: 100%
Breast Cancer Screening
0%832 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%682 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%1,504 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
0%680 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
0%47 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%4,341 patients4/55-star benchmark: 100%
e-Prescribing
100%359 patients5/55-star benchmark: 100%
Falls: Plan of Care
92%51 patients
Falls: Screening for Future Fall Risk
0%926 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%2,643 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 5% · 168 patients
Patients screened: 93% · 1,137 patients
95%56 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 25% · 1,969 patients
97%77 patients
Provide Patients Electronic Access to Their Health Information
97%1,031 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 926 patients
Patients totalRate: 8% · 926 patients
8%926 patients4/55-star benchmark: 100%
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.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$107.89 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 20

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

Occupational Therapist (Physical Rehabilitation)
927 FRANKLIN ST SE, 2ND FLOOR
HUNTSVILLE, AL 35801
Orthopaedic Surgery (Orthopaedic Trauma)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Occupational Therapist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Orthopaedic Surgery (Hand Surgery)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Physician Assistant (Surgical)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Audiologist
927 FRANKLIN ST SE, SUITE 100
HUNTSVILLE, AL 35801
Nurse Practitioner (Family)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Emergency Medicine
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Hughey's NPI number?

The NPI number for James Hughey is 1033438825. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Where is James Hughey located?

James Hughey practices at 927 Franklin St SE, Huntsville, AL 35801. The listed phone number is (256) 539-2728.

What is James Hughey's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is James Hughey enrolled in Medicare?

Yes. James Hughey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Hughey accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 3 other insurers list James Hughey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Hughey was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.