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DR. WILLIAM STEVEN HUGHES MD
NPI 1295874642
Plastic Surgery in Joplin, MO

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
1020 MCINTOSH CIR STE 102, JOPLIN, MO 64804(417) 347-4177(417) 347-5026 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William Steven Hughes Md NPPES

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

DR. WILLIAM STEVEN HUGHES MD (NPI 1295874642) is an individual plastic surgery provider in Joplin, Missouri, licensed in Missouri (2000168800) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Freeman Health System - Freeman West, and is a graduate of University Of Missouri, Columbia School Of Medicine (1991).

NPPES Registry Identity

NPI1295874642
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. WILLIAM STEVEN HUGHESCredential: MD
Location Address1020 MCINTOSH CIR STE 102Joplin, MO 64804
Mailing AddressPo Box 3810Joplin, MO 64803-3810 · (417) 347-3649 · Fax (417) 347-9106
Phone(417) 347-4177
Fax(417) 347-5026
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1991
Enumeration DateFebruary 5, 2007
Last NPPES UpdateMay 21, 2018
✔ NPI 1295874642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MO · 2000168800
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1020 MCINTOSH CIR STE 102, Joplin, MO 64804
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Other Identifiers 1

Medicaid205093008MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. William Steven 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 ID5496835910
PECOS Enrollment IDI20080109000330
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 5

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.

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.
64 services64 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.
45 services34 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
31 services23 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
21 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost58.46

Other Providers at the Same Location NPPES 2

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

ALISHA A GAUSS FNP
Nurse Practitioner
1020 MCINTOSH CIR STE 102
JOPLIN, MO 64804
Newton County (417) 781-6845
SABRINA KALANI REINEKE APRN
Nurse Practitioner (Family)
1020 MCINTOSH CIR STE 102
JOPLIN, MO 64804
Newton County (417) 781-6845

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 William Hughes's NPI number?

The NPI number for William Hughes is 1295874642. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is William Hughes located?

William Hughes practices at 1020 Mcintosh Cir Ste 102, Joplin, MO 64804. The listed phone number is (417) 347-4177.

What is William Hughes's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is William Hughes enrolled in Medicare?

Yes. William 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 William Hughes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list William 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 William Hughes affiliated with any hospitals?

According to CMS data, William Hughes is affiliated with Freeman Health System - Freeman West.

When was this NPI record last updated?

The NPPES record for William Hughes was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.