BRIAN W HUGHES MD
NPI 1427036177
Internal Medicine in Powell, TN

Q: What is Brian Hughes's NPI number?

The NPI number for Brian Hughes is 1427036177. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Q: What is Brian Hughes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Hughes was last updated on December 13, 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.

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment

7545 BARNETT WAY, POWELL, TN 37849(865) 824-1524(865) 362-5119 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2019, Nov 21, 2019, Sep 11, 2019 (3 updates tracked since 2019).

On this page

About Brian W Hughes Md NPPES

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

BRIAN W HUGHES MD (NPI 1427036177) is an individual internal medicine provider in Powell, Tennessee, licensed in Tennessee (38883) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Fort Loudoun Medical Center, and is a graduate of University Of Alabama School Of Medicine (2000).

NPPES Registry Identity

NPI1427036177

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBRIAN W HUGHESCredential: MD

Location Address7545 BARNETT WAYPowell, TN 37849

Mailing Address1275 Dick Lonas RdKnoxville, TN 37909-1382 · (865) 584-4747

Phone(865) 824-1524

Fax(865) 362-5119

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2000

Enumeration DateJanuary 4, 2006

Last NPPES UpdateDecember 13, 20193 updates tracked since enumeration

✔ NPI 1427036177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 38883

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

7545 BARNETT WAY, Powell, TN 37849

Open in Google Maps ↗

Other Identifiers 4

Other7729478TN · Aetna

Other4085113TN · Bluecross

Medicaid3896356TN

Medicaid64099948TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian W 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 ID143210476

PECOS Enrollment IDI20040807000245

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

135 services132 patients

Hospital Affiliations CMS Care Compare

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

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440110

Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37849 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%170 patients5/55-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 6

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

ANGELA M OPRY FNP

Nurse Practitioner