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ARTHUR L HUGHES MD
NPI 1114037991
Psychiatry & Neurology - Neurology in Cincinnati, OH

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
3285 WESTBOURNE DR, CINCINNATI, OH 45248(513) 451-6200(513) 451-0344 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Arthur L Hughes Md NPPES

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

ARTHUR L HUGHES MD (NPI 1114037991) is an individual neurology provider in Cincinnati, Ohio, licensed in Ohio (35038793) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and is a graduate of University Of Maryland School Of Medicine (1967).

NPPES Registry Identity

NPI1114037991
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameARTHUR L HUGHESCredential: MD
Location Address3285 WESTBOURNE DRCincinnati, OH 45248-5143
Mailing Address4805 Montgomery Rd, Suite 150Cincinnati, OH 45212-2198 · (513) 961-5558 · Fax (513) 961-1912
Phone(513) 451-6200
Fax(513) 451-0344
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1967
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 1, 2016
✔ NPI 1114037991 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 OH · 35038793
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.
3285 WESTBOURNE DR, Cincinnati, OH 45248
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Other Identifiers 4

Medicaid0367482OH
Medicare PINH399430OH
Other130025641OH · Medicare Railroad
Medicare PINK175900KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Arthur L 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 ID2769376151
PECOS Enrollment IDI20100427000462
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.

Medicare Billing Reassignment

Medicare enrollment records show Arthur Hughes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverhills Healthcare Inc
9.5 mi
Neurology
4805 MONTGOMERY RD STE 410
Cincinnati, OH 45212
  • Reassigned Medicare billing, Ohio enrollment
  • 59 clinicians in this Medicare group
NPI 1205943651 (513) 241-2370

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
238 services161 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.
79 services79 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
20 services15 patients
Nerve conduction, 3-4 studies 95908
Nerve conduction studies are tests that measure how well your nerves are working. In a 3-4 studies procedure, electrical signals are sent through 3-4 nerves. The speed and strength of the signal's travel is recorded to detect any nerve damage or dysfunction.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151329
Location321 Mitchell AveBatesville, IN 47006 · Franklin County
Emergency services

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45248 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

UNIVERSITY RADIOLOGY ASSOCIATES OF CINCINNATI, INC.
Radiology (Diagnostic Radiology)
3285 WESTBOURNE DR
CINCINNATI, OH 45248
Hamilton County (513) 451-7500
SET SHAHBABIAN MD INC
Radiology (Diagnostic Radiology)
3285 WESTBOURNE DR
CINCINNATI, OH 45248
Hamilton County (513) 922-4810
DR. SET SHAHBABIAN MD
Neurological Surgery
3285 WESTBOURNE DR
CINCINNATI, OH 45248
Hamilton County (513) 922-4810
TRIHEALTHOS, LLC
Neurological Surgery
3285 WESTBOURNE DR, SUITE 1
CINCINNATI, OH 45248
Hamilton County (513) 922-4810

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 Arthur Hughes's NPI number?

The NPI number for Arthur Hughes is 1114037991. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Arthur Hughes located?

Arthur Hughes practices at 3285 Westbourne Dr, Cincinnati, OH 45248. The listed phone number is (513) 451-6200.

What is Arthur Hughes's specialty?

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

Is Arthur Hughes enrolled in Medicare?

Yes. Arthur 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.

Which organization bills Medicare for Arthur Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arthur Hughes reassigns Medicare benefits to Riverhills Healthcare Inc (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arthur Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arthur Hughes accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and UnitedHealthcare list Arthur 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 Arthur Hughes affiliated with any hospitals?

According to CMS data, Arthur Hughes is affiliated with Margaret Mary Community Hospital Inc, Mercy Health - Fairfield Hospital, Good Samaritan Hospital, Christ Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Arthur Hughes was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.