1. Home
  2. Directory
  3. South Dakota
  4. Huron
  5. Hospitalist
  6. NPI Profile

KRISTEN LISA HUGHES MD
NPI 1053806489
Hospitalist in Huron, SD

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
172 4TH ST SE, HURON, SD 57350(605) 353-6200(605) 353-6300 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2025, Sep 27, 2021, Jun 27, 2018 (3 updates tracked since 2018).

About Kristen Lisa Hughes Md NPPES

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

KRISTEN LISA HUGHES MD (NPI 1053806489) is an individual hospitalist provider in Huron, South Dakota, licensed in South Dakota (12808) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053806489
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameKRISTEN LISA HUGHESCredential: MD
Location Address172 4TH ST SEHuron, SD 57350-2590
Mailing Address1371 Campbell DrHuron, SD 57350-3554 · (248) 802-7145
Phone(605) 353-6200
Fax(605) 353-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 27, 2018
Last NPPES UpdateFebruary 14, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1053806489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in SD · 12808
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 12808 (SD)
172 4TH ST SE, Huron, SD 57350
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Sanford Health Plan.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

Kristen Lisa Hughes 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 ID9830448414
PECOS Enrollment IDI20210923000701
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
240 services103 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
158 services60 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
127 services108 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
115 services97 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
101 services28 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
31 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431335
Location172 Fourth Street SEHuron, SD 57350 · Beadle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57350 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
4 suppliers35 claims64 services$6.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$119.13 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$26.21 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.

JIM SCHWAIGER MD
Radiology (Diagnostic Radiology)
172 4TH ST SE
HURON, SD 57350
Beadle County (605) 353-6209
KAREN SPRINGER SOCIAL WORKER
Social Worker
172 4TH ST SE
HURON, SD 57350
Beadle County (605) 353-6200
HURON REGIONAL MEDICAL CENTER INC
Hospice Care, Community Based
172 4TH ST SE
HURON, SD 57350
Beadle County (605) 353-6200
MARIE LANGBEHN OTR/L
Occupational Therapist
172 4TH ST SE
HURON, SD 57350
Beadle County (605) 353-6200
KELLY JEAN BURKE PTA
Physical Therapy Assistant
172 4TH ST SE
HURON, SD 57350
Beadle County (605) 353-6253
MICHAEL J MELMER CRNA
Nurse Anesthetist, Certified Registered
172 4TH ST SE
HURON, SD 57350
Beadle County (605) 353-6593
JORDAN RAY FINCK DPM
Podiatrist
172 4TH ST SE
HURON, SD 57350
Beadle County (605) 353-6200
ROBERTA LUCKLUM BSPT
Physical Therapist
172 4TH ST SE
HURON, SD 57350
Beadle County (605) 353-6200

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 Kristen Hughes's NPI number?

The NPI number for Kristen Hughes is 1053806489. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Kristen Hughes located?

Kristen Hughes practices at 172 4th St SE, Huron, SD 57350. The listed phone number is (605) 353-6200.

What is Kristen Hughes's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kristen Hughes enrolled in Medicare?

Yes. Kristen 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 Kristen Hughes accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Kristen 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 Kristen Hughes affiliated with any hospitals?

According to CMS data, Kristen Hughes is affiliated with Avera Mckennan Hospital & University Health Center, Sanford Usd Medical Center and Huron Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Hughes was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.