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HARRY FRANCIS HUGHES M.D.
NPI 1063466399
Psychiatry & Neurology - Neurology in Augusta, GA

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
72.46/100
CMS Quality Rating
1210 ROY ROAD, AUGUSTA, GA 30909(706) 860-6515(706) 396-0055 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Harry Francis Hughes M.d. NPPES

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

HARRY FRANCIS HUGHES M.D. (NPI 1063466399) is an individual neurology provider in Augusta, Georgia, licensed in Georgia (035269) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1063466399
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameHARRY FRANCIS HUGHESCredential: M.D.
Location Address1210 ROY ROADAugusta, GA 30909
Mailing Address1210 Roy RoadAugusta, GA 30909 · (706) 860-6515 · Fax (706) 396-0055
Phone(706) 860-6515
Fax(706) 396-0055
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 22, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1063466399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in GA · 035269
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1210 ROY ROAD, Augusta, GA 30909
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Other Identifiers 2

Medicaid000494997BGA
Medicaid0004949973GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of South Carolina.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

Harry Francis Hughes M.d. 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 ID4981861580
PECOS Enrollment IDI20120209000688
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.

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.
560 services352 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
141 services141 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
77 services67 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
53 services53 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
48 services48 patients
Complete ultrasound of within the brain blood flow 93886
A complete ultrasound of brain blood flow, also known as a Transcranial Doppler, is a non-invasive procedure that uses sound waves to measure the speed and direction of blood flow in the brain. This helps detect any abnormalities or blockages.
48 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

72.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality49.93
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
23%103 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
42%205 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
93%97 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,064 patients4/55-star benchmark: 100%
e-Prescribing
99%312 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
7%363 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%529 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
11%709 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 242 patients
94%242 patients
Provide Patients Electronic Access to Their Health Information
82%791 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
67%216 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 369 patients
Patients totalRate: 8% · 381 patients
4%381 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.

Other Providers at the Same Location NPPES

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

BENJAMIN BASHINSKI, III M.D.
Psychiatry & Neurology (Neurology)
1210 ROY ROAD
AUGUSTA, GA 30909
Richmond County (706) 860-6515

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 Harry Hughes's NPI number?

The NPI number for Harry Hughes is 1063466399. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Harry Hughes located?

Harry Hughes practices at 1210 Roy Road, Augusta, GA 30909. The listed phone number is (706) 860-6515.

What is Harry Hughes's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Harry Hughes enrolled in Medicare?

Yes. Harry 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 Harry Hughes accept?

Health plans from Alliant Health Plans, Inc. and BlueCross BlueShield of South Carolina list Harry 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 Harry Hughes affiliated with any hospitals?

According to CMS data, Harry Hughes is affiliated with Piedmont Augusta Hospital and Au Medical Center.

When was this NPI record last updated?

The NPPES record for Harry Hughes was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.