DR. KATHRYN B HUGHES MD
NPI 1437544574
Family Medicine in Waukesha, WI

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
2130 BIG BEND RD, WAUKESHA, WI 53189(262) 513-7555 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kathryn B Hughes Md NPPES

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

DR. KATHRYN B HUGHES MD (NPI 1437544574) is an individual family medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (66405) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Medical College Of Wisconsin (2015).

NPPES Registry Identity

NPI1437544574
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHRYN B HUGHESCredential: MD
Location Address2130 BIG BEND RDWaukesha, WI 53189-7624
Mailing Address210 Nw Barstow St Ste 201Waukesha, WI 53188-3771
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateSeptember 11, 2018
NPI 1437544574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 66405
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.

2130 BIG BEND RD, Waukesha, WI 53189

Accepted Insurance

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

Dr. Kathryn B 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 ID5092080739
PECOS Enrollment IDI20181003003103
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
75 services75 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.
68 services58 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53189 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Internal Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES, INC.
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189
Internal Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189

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 Kathryn Hughes's NPI number?

The NPI number for Kathryn Hughes is 1437544574. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Kathryn Hughes located?

Kathryn Hughes practices at 2130 Big Bend Rd, Waukesha, WI 53189. The listed phone number is (262) 513-7555.

What is Kathryn Hughes's specialty?

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

Is Kathryn Hughes enrolled in Medicare?

Yes. Kathryn Hughes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathryn Hughes accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Kathryn 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.

Is Kathryn Hughes affiliated with any hospitals?

According to CMS data, Kathryn Hughes is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kathryn Hughes was last updated on September 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.