SCOTT E HUGHES DPM
NPI 1043210206
Podiatrist - Foot & Ankle Surgery in Monroe, MI

Q: What is Scott Hughes's NPI number?

The NPI number for Scott Hughes is 1043210206. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Scott Hughes's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Scott Hughes was last updated on April 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1042 N MONROE ST, MONROE, MI 48162(734) 241-0200(734) 241-1961 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 19, 2021, Aug 20, 2018 (2 updates tracked since 2018).

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About Scott E Hughes Dpm NPPES

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

SCOTT E HUGHES DPM (NPI 1043210206) is an individual foot & ankle surgery provider in Monroe, Michigan, licensed in Michigan (5901001668) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (1991).

NPPES Registry Identity

NPI1043210206

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameSCOTT E HUGHESCredential: DPM

Location Address1042 N MONROE STMonroe, MI 48162

Mailing Address1042 N Monroe StMonroe, MI 48162-3113 · (734) 241-0200 · Fax (734) 241-1961

Phone(734) 241-0200

Fax(734) 241-1961

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 1991

Enumeration DateJuly 28, 2005

Last NPPES UpdateApril 19, 20212 updates tracked since enumeration

NPPES CertifiedApril 19, 2021

✔ NPI 1043210206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in MI · 5901001668

1042 N MONROE ST, Monroe, MI 48162

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Scott E Hughes Dpm 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 ID7315989696

PECOS Enrollment IDI20090630000264

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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

374 services118 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

266 services98 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

192 services109 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.

191 services111 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

96 services31 patients

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.

95 services55 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

92 services48 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

56 services21 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.

36 services36 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

28 services27 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

17 services17 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.

13 services13 patients

Removal of blood accumulation under fingernail or toenail 11740

This procedure involves relieving pressure from a blood buildup under a nail, often due to injury. A small hole is made in the nail to drain the blood and reduce pain. The process is quick and usually painless with local anesthesia.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230099

Location718 N Macomb StMonroe, MI 48162 · Monroe County

Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

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.

75/100

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

Scored as part of a group practice

Other Providers at the Same Location NPPES 4

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

MURTHY S MADHIRA MD PC

Specialist

1042 N MONROE ST
MONROE, MI 48162

Monroe County (734) 240-4870

GREG P VOGT D.P.M.

Podiatrist (Foot & Ankle Surgery)

1042 N MONROE ST
MONROE, MI 48162

Monroe County (734) 241-0200

CHRISTINE TUMELE D.P.M.

Podiatrist (Foot & Ankle Surgery)

1042 N MONROE ST
MONROE, MI 48162

Monroe County (734) 241-0200

FOOT AND ANKLE SPECIALISTS PC

Podiatrist

1042 N MONROE ST
MONROE, MI 48162

Monroe County (734) 241-0200

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 Scott Hughes's NPI number?

The NPI number for Scott Hughes is 1043210206. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Scott Hughes located?

Scott Hughes practices at 1042 N Monroe St, Monroe, MI 48162. The listed phone number is (734) 241-0200.

What is Scott Hughes's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Scott Hughes enrolled in Medicare?

Yes. Scott Hughes 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 Scott Hughes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Scott Hughes 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.

Is Scott Hughes affiliated with any hospitals?

According to CMS data, Scott Hughes is affiliated with Promedica Monroe Regional Hospital and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Scott Hughes was last updated on April 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.