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DR. THERESE A. HUGHES
NPI 1235150673
Obstetrics & Gynecology in Highland Park, IL

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
757 PARK AVE W STE 2800, HIGHLAND PARK, IL 60035(847) 432-1558(847) 432-6981 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2020, Oct 13, 2020 (2 updates tracked since 2020).

About Dr. Therese A. Hughes NPPES

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

DR. THERESE A. HUGHES (NPI 1235150673) is an individual obstetrics & gynecology provider in Highland Park, Illinois, licensed in Illinois (036096747) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1995).

NPPES Registry Identity

NPI1235150673
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. THERESE A. HUGHES
Location Address757 PARK AVE W STE 2800Highland Park, IL 60035-2557
Mailing Address757 Park Ave W Ste 2800Highland Park, IL 60035-2557 · (847) 432-1558 · Fax (847) 432-6981
Phone(847) 432-1558
Fax(847) 432-6981
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1995
Enumeration DateJuly 21, 2006
Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1235150673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036096747
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
757 PARK AVE W STE 2800, Highland Park, IL 60035
Open in Google Maps ↗

Other Identifiers 1

Medicaid036096747IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Therese A. Hughes 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 ID9537139258
PECOS Enrollment IDI20101019000966
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 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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
91 services91 patients
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.
81 services65 patients
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.
41 services39 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60035 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

MRS. KIMBERLY BLOOMCAMP APN-CNM
Advanced Practice Midwife
757 PARK AVE W STE 2800
HIGHLAND PARK, IL 60035
Lake County (847) 941-7600
KATERINA REGINA HOYT MD
Obstetrics & Gynecology
757 PARK AVE W STE 2800
HIGHLAND PARK, IL 60035
Lake County (847) 941-7600
CHELSEY PETRICH MD
Obstetrics & Gynecology
757 PARK AVE W STE 2800
HIGHLAND PARK, IL 60035
Lake County (847) 941-7623
SIMONE BONDE CNM
Advanced Practice Midwife
757 PARK AVE W STE 2800
HIGHLAND PARK, IL 60035
Lake County (847) 941-7600
DR. BRIAN JOHN CARROLL D.O.
Obstetrics & Gynecology
757 PARK AVE W STE 2800
HIGHLAND PARK, IL 60035
Lake County (847) 752-4497

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 Therese Hughes's NPI number?

The NPI number for Therese Hughes is 1235150673. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Therese Hughes located?

Therese Hughes practices at 757 Park Ave W Ste 2800, Highland Park, IL 60035. The listed phone number is (847) 432-1558.

What is Therese Hughes's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Therese Hughes enrolled in Medicare?

Yes. Therese 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 Therese Hughes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Therese 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 Therese Hughes affiliated with any hospitals?

According to CMS data, Therese Hughes is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Therese Hughes was last updated on November 5, 2020. 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.