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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Gilbert Hughes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mid-Atlantic Womens Care Plc
14 mi
Obstetrics & Gynecology
1080 FIRST COLONIAL RD STE 300
Virginia Beach, VA 23454
  • Reassigned Medicare billing, Virginia enrollment
  • 114 clinicians in this Medicare group
NPI 1699365072 (757) 481-7222

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 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
Quality85.44
Promoting Interoperability100
Improvement Activities40
Cost60.47

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.

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.

DR. R. MICHAEL GRAHAM MD
Orthopaedic Surgery
100 KINGSLEY LN, SUITE 300
NORFOLK, VA 23505
Norfolk City (757) 889-6580
ELLIOTT W LUCAS MD
Obstetrics & Gynecology
100 KINGSLEY LN, SUITE 100
NORFOLK, VA 23505
Norfolk City (757) 889-6890
BLAIR F CONGER C.N.M.
Advanced Practice Midwife
100 KINGSLEY LN, SUITE 400
NORFOLK, VA 23505
Norfolk City (757) 451-0929
UROLOGY OF VIRGINIA P C
Durable Medical Equipment & Medical Supplies
100 KINGSLEY LN, STE404
NORFOLK, VA 23505
Norfolk City (757) 489-4111
MRS. APRIL JOAN HARVILL PA-C
Physician Assistant
100 KINGSLEY LN
NORFOLK, VA 23505
Norfolk City (757) 889-5000
HOUSSAM ADDIN QURAID
100 KINGSLEY LN, SUITE 302
NORFOLK, VA 23505
Norfolk City (757) 423-2166
SENTARA MEDICAL GROUP
Urology
100 KINGSLEY LN, STE 404
NORFOLK, VA 23505
Norfolk City (757) 489-4111
KRYSTLE RITA LAPPINEN M.D.
Obstetrics & Gynecology
100 KINGSLEY LN, SUITE 400
NORFOLK, VA 23505
Norfolk City (757) 451-0929

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 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.

Where is Gilbert Hughes located?

Gilbert Hughes practices at 100 Kingsley Ln Suite 400, Norfolk, VA 23505. The listed phone number is (757) 451-0929.

What is Gilbert Hughes's specialty?

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

Is Gilbert Hughes enrolled in Medicare?

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

Which organization bills Medicare for Gilbert Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gilbert Hughes reassigns Medicare benefits to Mid-Atlantic Womens Care Plc (Virginia Beach, VA). The 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 Gilbert Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gilbert Hughes was last updated on March 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.