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DR. RACHEL HUGHES M.D.
NPI 1366836348
Emergency Medicine in Madison, WI

Active since March 26, 2015PECOS Enrolled
99.3/100
CMS Quality Rating
700 S PARK ST, MADISON, WI 53715(800) 680-4369 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rachel Hughes M.d. NPPES

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

DR. RACHEL HUGHES M.D. (NPI 1366836348) is an individual emergency medicine provider in Madison, Wisconsin, licensed in Wisconsin (71286-20) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1366836348
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. RACHEL HUGHESCredential: M.D.
Location Address700 S PARK STMadison, WI 53715
Mailing Address700 S Park StMadison, WI 53715-1830 · (800) 680-4369
Phone(800) 680-4369
Sole ProprietorNo
Enumeration DateMarch 26, 2015
Last NPPES UpdateSeptember 18, 2019
✔ NPI 1366836348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 71286-20
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.
700 S PARK ST, Madison, WI 53715
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Other Names 1

Former Name (1)Dr. Rachel Harper

Secondary Practice Locations 7

Location 1700 S Park StMadison, WI 53715 · Phone (800) 680-4369
Location 2611 Sherman Ave EFort Atkinson, WI 53538-1960 · Phone (920) 568-5000
Location 3707 14th StBaraboo, WI 53913-1539 · Phone (608) 356-1400
Location 42840 OKeeffe AveSun Prairie, WI 53590-7077 · Phone (608) 229-8484
Location 51515 Park AveColumbus, WI 53925-1618 · Phone (920) 623-2200
Location 62000 N Dewey AveReedsburg, WI 53959-1049 · Phone (608) 524-6487
Location 7800 Compassion WayDodgeville, WI 53533-1956 · Phone (608) 930-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rachel Hughes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.
200 services195 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
164 services151 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.
66 services66 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.
63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

99.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.74
Promoting Interoperability100
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.

CHRISTOPHER DO
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
JEREMI THOMAS OLSON PA-C
Physician Assistant (Surgical)
700 S PARK ST, DEAN ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Dane County (608) 260-2900
TIMOTHY J MORTON PA-C
Physician Assistant
700 S PARK ST, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 251-6100
STEPHEN H VANDER SLUIS
Anesthesiology
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
BENJAMIN KLEIBER M.D.
Internal Medicine (Cardiovascular Disease)
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Dane County (608) 260-2900
ERIN M MULLAN-TOWNS PA-C
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Dane County (608) 260-2900
CONNIE SUE MCCULLICK APNP
Nurse Practitioner
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100
JUSTIN ALLEN LEHRKE CRNA
Nurse Anesthetist, Certified Registered
700 S PARK ST
MADISON, WI 53715
Dane County (608) 251-6100

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 Rachel Hughes's NPI number?

The NPI number for Rachel Hughes is 1366836348. It was assigned to this individual provider in the NPPES registry on March 26, 2015. The provider is also known as Dr. Rachel Harper.

Where is Rachel Hughes located?

Rachel Hughes practices at 700 S Park St, Madison, WI 53715. The listed phone number is (800) 680-4369.

What is Rachel Hughes's specialty?

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

Is Rachel Hughes enrolled in Medicare?

Yes. Rachel Hughes is registered in the Medicare PECOS enrollment system.

What insurance does Rachel Hughes accept?

Health plans from Group Health Cooperative-SCW list Rachel 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.

When was this NPI record last updated?

The NPPES record for Rachel Hughes was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.