GILBERT THEODORE HUGHES M.D.
NPI 1376650291
Obstetrics & Gynecology in Norfolk, VA

Q: What is Gilbert Hughes's NPI number?

The NPI number for Gilbert Hughes is 1376650291. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Gilbert Hughes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gilbert Hughes was last updated on March 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 24, 2006PECOS Enrolled

83.77/100

CMS Quality Rating

100 KINGSLEY LN, SUITE 400, NORFOLK, VA 23505(757) 451-0929(757) 423-4901 Get Directions Write a Review

NPPES record last updated: March 1, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Gilbert Theodore Hughes M.d. NPPES

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

GILBERT THEODORE HUGHES M.D. (NPI 1376650291) is an individual obstetrics & gynecology provider in Norfolk, Virginia, licensed in Virginia (0101036124) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376650291

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameGILBERT THEODORE HUGHESCredential: M.D.

Location Address100 KINGSLEY LN, SUITE 400Norfolk, VA 23505-4604

Mailing Address100 Kingsley Ln, Suite 400Norfolk, VA 23505-4604 · (757) 451-0929 · Fax (757) 423-4901

Phone(757) 451-0929

Fax(757) 423-4901

Sole ProprietorNo

Enumeration DateAugust 24, 2006

Last NPPES UpdateMarch 1, 2010

✔ NPI 1376650291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in VA · 0101036124

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.

100 KINGSLEY LN, Norfolk, VA 23505

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Other Identifiers 1

Medicare PIN160001352VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gilbert Theodore 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 7

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.

56 services56 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.

49 services37 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

24 services24 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

23 services16 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

15 services15 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23505 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

83.77/100

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

Scored as part of a group practice

Quality

85.44

Promoting Interoperability

100

Improvement Activities

Cost

60.47

Reported Quality Measures

Breast Cancer Screening

78%325 patients4/55-star benchmark: 93%

Cervical Cancer Screening

96%962 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

37%100 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

43%483 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

45%22 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%1,778 patients4/55-star benchmark: 100%

e-Prescribing

98%510 patients4/55-star benchmark: 100%

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

29%1,085 patients2/55-star benchmark: 98%

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

42%1,610 patients3/55-star benchmark: 61%

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

Patients combinedPopulations: 87% · 1,065 patients

Patients screened: 97% · 1,065 patients

16%126 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

96%603 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.