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DR. MARK CARROLL HUGHES M.D.
NPI 1205861572
Emergency Medicine in Chesapeake, VA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
94.04/100
CMS Quality Rating
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320(757) 312-6200(757) 312-6181 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2024, Jan 8, 2020 (2 updates tracked since 2020).

About Dr. Mark Carroll Hughes M.d. NPPES

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

DR. MARK CARROLL HUGHES M.D. (NPI 1205861572) is an individual emergency medicine provider in Chesapeake, Virginia, licensed in Virginia (0101102560) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Chesapeake General Hospital, and is a graduate of Eastern Virginia Medical School (1998).

NPPES Registry Identity

NPI1205861572
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARK CARROLL HUGHESCredential: M.D.
Location Address736 BATTLEFIELD BLVD NChesapeake, VA 23320-4941
Mailing Address109 G Gainsborough Square, Box 723Chesapeake, VA 23320 · (757) 490-9388 · Fax (757) 490-9401
Phone(757) 312-6200
Fax(757) 312-6181
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1998
Enumeration DateJuly 12, 2006
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2020
✔ NPI 1205861572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in VA · 0101102560✔ Licensed in DC · MD034914
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
736 BATTLEFIELD BLVD N, Chesapeake, VA 23320
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Other Identifiers 3

OtherP01735379VA · Rr Medicare
OtherVVM509AVA · Medicare
Medicaid1205861572VA

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

Dr. Mark Carroll 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 ID2062515364
PECOS Enrollment IDI20070306000725
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 7

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
390 services369 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
117 services115 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
52 services52 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
52 services52 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services41 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 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.

94.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.08
Improvement Activities40

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.

MIRANDA MARIE HURLEY CRNA
Nurse Anesthetist, Certified Registered
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-5246
SARAH ANN WILLIAMS PA
Physician Assistant
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 490-9388
DR. JIEMING YAN MD
Internal Medicine
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 967-8622
MISS SARAH MAE GROFT PA-C
Physician Assistant (Medical)
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 609-3380
DR. SALVADOR BERNARD TRINIDAD M.D.
Radiology (Diagnostic Radiology)
736 BATTLEFIELD BLVD N, RADIOLOGY DEPARTMENT
CHESAPEAKE, VA 23320
Chesapeake City (757) 366-0101
SAMANTHA JO PALOZOLA CSA, CSFA
Specialist/Technologist, Other (Surgical Assistant)
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-8121
ROJAS R KEELING CSA
Specialist/Technologist, Other (Surgical Assistant)
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 803-8098
ALYSON LAMM
Surgery
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-8121

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 Mark Hughes's NPI number?

The NPI number for Mark Hughes is 1205861572. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Mark Hughes located?

Mark Hughes practices at 736 Battlefield Blvd N, Chesapeake, VA 23320. The listed phone number is (757) 312-6200.

What is Mark Hughes's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Hughes enrolled in Medicare?

Yes. Mark 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.

Is Mark Hughes affiliated with any hospitals?

According to CMS data, Mark Hughes is affiliated with Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for Mark Hughes was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.