DR. ERICA J HUGHES MD
NPI 1316080740
Internal Medicine - Pulmonary Disease in Burnet, TX

Q: What is Erica Hughes's NPI number?

The NPI number for Erica Hughes is 1316080740. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Q: What is Erica Hughes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Erica Hughes was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment

84/100

CMS Quality Rating

200 JOHN W HOOVER PKWY, BLDG 3, STE D, BURNET, TX 78611(512) 715-3130(512) 715-3131 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Erica J Hughes Md NPPES

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

DR. ERICA J HUGHES MD (NPI 1316080740) is an individual pulmonary disease provider in Burnet, Texas, licensed in Texas (L7422) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Hill Country Memorial Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (2002).

NPPES Registry Identity

NPI1316080740

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameDR. ERICA J HUGHESCredential: MD

Location Address200 JOHN W HOOVER PKWY, BLDG 3, STE DBurnet, TX 78611-4564

Mailing Address200 John W Hoover Pkwy, Bldg 3, Ste DBurnet, TX 78611-4564 · (512) 715-3130 · Fax (512) 715-3131

Phone(512) 715-3130

Fax(512) 715-3131

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2002

Enumeration DateFebruary 15, 2007

Last NPPES UpdateJuly 15, 2024

NPPES CertifiedJuly 15, 2024

✔ NPI 1316080740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TX · L7422

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

200 JOHN W HOOVER PKWY, Burnet, TX 78611

Open in Google Maps ↗

Other Identifiers 1

Medicaid207494001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Erica J 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 ID2668520602

PECOS Enrollment IDI20090501000271

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 20

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.

692 services518 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.

419 services256 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

248 services245 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

217 services60 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

210 services203 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

203 services197 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

186 services182 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.

141 services141 patients

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.

127 services66 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

107 services74 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

96 services95 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

73 services70 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

50 services47 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

43 services43 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

41 services41 patients

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296

This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.

35 services35 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.

33 services33 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

31 services26 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

13 services13 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number450604

Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County

Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450718

Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County

Emergency services Birthing friendly

Ascension Seton Highland Lakes

Critical Access Hospitals · Burnet, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451365

Location3201 S Water StBurnet, TX 78611 · Burnet County

Emergency services

Cedar Park Regional Medical Center

Acute Care Hospitals · Cedar Park, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number670043

Location1401 Medical ParkwayCedar Park, TX 78613 · Williamson County

Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670108

Location810 W Highway 71Marble Falls, TX 78654 · Burnet County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78611 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

84/100

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

Scored as part of a group practice

Quality

94.86

Promoting Interoperability

100

Improvement Activities

Cost

51.8

Reported Quality Measures

Advance Care Plan

90%1,401 patients4/55-star benchmark: 100%

Breast Cancer Screening

57%577 patients3/55-star benchmark: 93%

Cervical Cancer Screening

32%256 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

40%113 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

68%1,147 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

81%852 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

81%47 patients4/55-star benchmark: 99%

Dementia: Cognitive Assessment

46%41 patients

Diabetes: Eye Exam

19%270 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

34%270 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%3,641 patients4/55-star benchmark: 100%

e-Prescribing

98%2,414 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

78%1,367 patients4/55-star benchmark: 100%

Functional Status After Primary Total Knee Replacement

0%57 patients

HIV Screening

4%666 patients1/55-star benchmark: 60%

One-Time Screening for Hepatitis C Virus (HCV) for all Patients

39%1,000 patients2/55-star benchmark: 98%

Optimal Asthma Control

Patients adultCtrlNoExacRisk: 0% · 35 patients

Patients adultsNoRiskExac: 0% · 35 patients

Patients adultsWellCtrl: 34% · 35 patients

0%36 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

34%1,870 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

69%1,358 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

31%1,351 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 88% · 1,699 patients

Patients screened: 89% · 1,699 patients

97%259 patients4/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 46% · 1,005 patients

Patients screened: 47% · 1,005 patients

33%21 patients

Provide Patients Electronic Access to Their Health Information

79%1,344 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

61%611 patients3/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82%832 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 1,361 patients

Patients totalRate: 11% · 1,399 patients

10%1,399 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 33

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

16 suppliers265 claims265 services$42.36 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

6 suppliers42 claims90 services$1.70 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

17 suppliers163 claims163 services$107.18 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

15 suppliers175 claims418 services$41.39 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

13 suppliers113 claims604 services$24.12 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

13 suppliers170 claims906 services$17.38 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

17 suppliers281 claims281 services$68.96 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

22 suppliers258 claims258 services$21.51 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

4 suppliers14 claims14 services$10.52 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

15 suppliers159 claims159 services$19.09 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

23 suppliers429 claims2,358 services$2.84 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

10 suppliers30 claims30 services$8.01 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

14 suppliers151 claims151 services$12.83 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers12 claims12 services$63.24 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

8 suppliers171 claims172 services$18.14 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

4 suppliers98 claims106 services$915.16 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers50 claims50 services$123.65 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

3 suppliers20 claims20 services$249.10 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

3 suppliers55 claims55 services$834.14 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers49 claims49 services$176.50 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier59 claims60 services$15.72 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers15 claims15 services$4.91 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

10 suppliers466 claims471 services$45.33 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

15 suppliers867 claims869 services$107.17 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

11 suppliers583 claims585 services$36.34 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

3 suppliers12 claims690 services$4.23 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers33 claims1,950 services$6.60 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

14 suppliers130 claims27,163 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

14 suppliers140 claims14,731 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

8 suppliers74 claims4,094 services$0.77 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

10 suppliers40 claims1,710 services$0.14 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

19 suppliers302 claims302 services$24.19 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

6 suppliers16 claims16 services$48.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

WALTER LEE CHESSHIR III MD

Family Medicine

200 JOHN W HOOVER PKWY, BLDG 1, STE A
BURNET, TX 78611

Burnet County (512) 715-3110

DR. AKBAR ALY HUSSAINI M.D.

Orthopaedic Surgery

200 JOHN W HOOVER PKWY, BLDG II, SUITE B-C
BURNET, TX 78611

Burnet County (512) 715-3114

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 Erica Hughes's NPI number?

The NPI number for Erica Hughes is 1316080740. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Erica Hughes located?

Erica Hughes practices at 200 John W Hoover Pkwy Bldg 3, Ste D, Burnet, TX 78611. The listed phone number is (512) 715-3130.

What is Erica Hughes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Erica Hughes enrolled in Medicare?

Yes. Erica 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 Erica Hughes accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Erica 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 Erica Hughes affiliated with any hospitals?

According to CMS data, Erica Hughes is affiliated with Hill Country Memorial Hospital, Round Rock Medical Center, Ascension Seton Highland Lakes, Cedar Park Regional Medical Center and Baylor Scott & White Medical Center - Marble Falls.

When was this NPI record last updated?

The NPPES record for Erica Hughes was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.