DR. RACHEL HUGHES M.D.
NPI 1366836348
Emergency Medicine in Madison, WI
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
Specialties & Licenses
Other Names 1
Secondary Practice Locations 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Rachel Hughes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Rachel Hughes reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 103 clinicians in this Medicare group
Columbus, WI 53925
- Reassigned Medicare billing, Wisconsin enrollment
- 132 clinicians in this Medicare group
Dodgeville, WI 53533
- Reassigned Medicare billing, Wisconsin enrollment
- 130 clinicians in this Medicare group
Reedsburg, WI 53959
- Reassigned Medicare billing, Wisconsin enrollment
- 96 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Emergency Medicine Specialists Sc
- 244 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
MADISON, WI 53715
MADISON, WI 53715
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.
Which organizations bill Medicare for Rachel Hughes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Hughes reassigns Medicare benefits to 5 organizations: Madison Emergency Physicians, Sc (Madison, WI), Prairie Ridge Health, Inc. (Columbus, WI), Upland Hills Health, Inc. (Dodgeville, WI), Reedsburg Area Medical Center, Inc. (Reedsburg, WI) and Emergency Medicine Specialists, S.C. (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 7 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.
# Dr. Rachel Hughes, M.D. · NPI 1366836348
Emergency Medicine physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since March 26, 2015.
## Identity
- **NPI:** 1366836348 (Entity type: Individual)
- **Enumerated:** March 26, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 71286-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 S PARK ST, Madison, WI 53715
- **Phone:** (800) 680-4369
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Madison Emergency Physicians, Sc (NPI 1588646095, Madison, WI); Prairie Ridge Health, Inc. (NPI 1841376183, Columbus, WI); Upland Hills Health, Inc. (NPI 1487745501, Dodgeville, WI); Reedsburg Area Medical Center, Inc. (NPI 1457780983, Reedsburg, WI); Emergency Medicine Specialists, S.C. (NPI 1568413524, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1366836348) · Data from the CMS NPPES public registry.