CANDICE S. HUGHES MD
NPI 1376864496
Family Medicine in Newport News, VA

Q: What is Candice Hughes's NPI number?

The NPI number for Candice Hughes is 1376864496. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Q: What is Candice Hughes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Candice Hughes was last updated on March 25, 2020. 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.

Active since June 14, 2010PECOS EnrolledAccepts Medicare Assignment

48 NEWMARKET SQ, NEWPORT NEWS, VA 23605(757) 825-8030 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 25, 2020, Oct 9, 2019 (2 updates tracked since 2019).

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About Candice S. Hughes Md NPPES

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

CANDICE S. HUGHES MD (NPI 1376864496) is an individual family medicine provider in Newport News, Virginia, licensed in Virginia (0101253117) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Southern Virginia Medical Center, and maintains a secondary practice location in Virginia Beach.

NPPES Registry Identity

NPI1376864496

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCANDICE S. HUGHESCredential: MD

Location Address48 NEWMARKET SQNewport News, VA 23605-2721

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (757) 825-8030

Phone(757) 825-8030

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2010

Enumeration DateJune 14, 2010

Last NPPES UpdateMarch 25, 20202 updates tracked since enumeration

NPPES CertifiedMarch 25, 2020

✔ NPI 1376864496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101253117

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

48 NEWMARKET SQ, Newport News, VA 23605

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Secondary Practice Location 1

Location 1236 Clearfield AveVirginia Beach, VA 23462-1893 · Phone (757) 544-0180

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Candice S. 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 ID8022255991

PECOS Enrollment IDI20131015000027

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 Reassignments

Medicare enrollment records show Candice Hughes reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa PC

20 mi

Family Medicine

293 INDEPENDENCE BLVD. PEMBROKE 5 BLDG STE 415
Virginia Beach, VA 23452

Reassigned Medicare billing, Virginia enrollment
91 clinicians in this Medicare group

NPI 1942531769 (757) 853-1380

Legacy Care Aco LLC

25 mi

Family Medicine

780 LYNNHAVEN PKWY STE 400
Virginia Bch, VA 23452

Reassigned Medicare billing, Virginia enrollment
69 clinicians in this Medicare group

NPI 1538844857 (757) 536-2246

Bon Secours Medical Group Richmond Primary Care LLC

70 mi

Family Medicine

8580 MAGELLAN PKWY
Richmond, VA 23227

Reassigned Medicare billing, Virginia enrollment
140 clinicians in this Medicare group

NPI 1861050635 (804) 627-5573

Pmr Virginia Holding, LLC

796 mi

Specialist

1395 NW 167TH ST
Miami Gardens, FL 33169

Reassigned Medicare billing, Virginia enrollment
100 clinicians in this Medicare group

NPI 1083167001 (305) 628-6117

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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

258 services79 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

64 services57 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

48 services35 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

46 services26 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

33 services22 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

25 services22 patients

Hospital Affiliations CMS Care Compare

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

Bon Secours Southern Virginia Medical Center

Acute Care Hospitals · Emporia, VA

OwnershipProprietary

CMS Certification Number490097

Location727 North Main StreetEmporia, VA 23847 · Emporia City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23605 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$20.30 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMANDA EBUN OLAGUNJU D.O.

Family Medicine