JON M HUGHES NP
NPI 1063931897
Nurse Practitioner - Family in South Boston, VA

Q: What is Jon Hughes's NPI number?

The NPI number for Jon Hughes is 1063931897. It was assigned to this individual provider in the NPPES registry on September 13, 2017. The provider is also known as Jon Michael Hughes Np.

Q: What is Jon Hughes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Hughes was last updated on May 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 13, 2017PECOS EnrolledAccepts Medicare Assignment

94.07/100

CMS Quality Rating

2204 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-3100 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 21, 2022, Sep 13, 2017 (2 updates tracked since 2017).

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About Jon M Hughes Np NPPES

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

JON M HUGHES NP (NPI 1063931897) is an individual family provider in South Boston, Virginia, licensed in Virginia (0024175354) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Danville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063931897

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJON M HUGHESCredential: NP

Location Address2204 WILBORN AVESouth Boston, VA 24592-1645

Mailing Address133 Mallard Lake DrDanville, VA 24541-9101 · (434) 250-0479

Phone(434) 517-3100

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 13, 2017

Last NPPES UpdateMay 21, 20242 updates tracked since enumeration

NPPES CertifiedMay 21, 2024

✔ NPI 1063931897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024175354

2204 WILBORN AVE, South Boston, VA 24592

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Other Names 1

Other Name (5)Jon Michael Hughes Np

Secondary Practice Location 1

Location 1133 Enterprise DrDanville, VA 24540-4071 · Phone (434) 792-2907

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Jon M Hughes Np 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 ID2860759685

PECOS Enrollment IDI20241216000548

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 10

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 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.

104 services98 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

88 services44 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.

82 services80 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

76 services72 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

44 services11 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.

35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24592 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

94.07/100

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

Scored through an Alternative Payment Model

Quality

86.44

Promoting Interoperability

Improvement Activities

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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.

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