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MR. BLAIR KENT HOUGH M.D.
NPI 1467407031
Surgery in Espanola, NM

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1010 SPRUCE ST, PMG ESPANOLA, ESPANOLA, NM 87532(505) 367-0362 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Blair Kent Hough M.d. NPPES

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

MR. BLAIR KENT HOUGH M.D. (NPI 1467407031) is an individual surgery provider in Espanola, New Mexico, licensed in New Mexico (MD2016-0486) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Espanola Hospital, and is a graduate of Michigan State University College Of Human Medicine (1990).

NPPES Registry Identity

NPI1467407031
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. BLAIR KENT HOUGHCredential: M.D.
Location Address1010 SPRUCE ST, PMG ESPANOLAEspanola, NM 87532-2724
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666
Phone(505) 367-0362
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1990
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 28, 2016
✔ NPI 1467407031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NM · MD2016-0486✔ Licensed in MI · 4301056501
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1010 SPRUCE ST, Espanola, NM 87532
Open in Google Maps ↗

Other Identifiers 7

Other101364MI · Shn Hospital Glhp
Medicaid4258841MI
Medicare PIN0C26017012MI
Medicare UPINF28039MI
Medicare OSCAR/certification231310MI
Medicare PIN0C26012038MI
Medicaid4250727MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.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

Mr. Blair Kent Hough M.d. 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 ID3072594514
PECOS Enrollment IDI20160816001265
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 10

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 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.
55 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
35 services33 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services17 patients
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.
30 services23 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Espanola Hospital

Acute Care Hospitals · Espanola, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320011
Location1010 Spruce StreetEspanola, NM 87532 · Rio Arriba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87532 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

EMILY DRUMMOND DO
Emergency Medicine
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111
BAILEY PEARSON FNP-C
Nurse Practitioner (Family)
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 367-0340
KAREN G CONNAUGHTON MD
Emergency Medicine
1010 SPRUCE ST, ESPANOLA HOSPITAL
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111
KIMBERLY ALLEN
Nurse Practitioner (Family)
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111
REBECCA JANE WALLIG DO
Pediatrics
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 367-0340
CHELSEA D KIRBY MD
Pediatrics
1010 SPRUCE ST, ESPANOLA MULTISPECIALTY CLINIC
ESPANOLA, NM 87532
Rio Arriba County (505) 753-8031
VIDYA SUBRAMANIAN MD
Family Medicine
1010 SPRUCE ST, ESPANOLA MULTI-SPECIALTY CLINIC
ESPANOLA, NM 87532
Rio Arriba County (505) 367-0340
LARRY L COHEN MD
Family Medicine
1010 SPRUCE ST, ESPANOLA HOSPITAL
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111

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 Blair Hough's NPI number?

The NPI number for Blair Hough is 1467407031. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Blair Hough located?

Blair Hough practices at 1010 Spruce St Pmg Espanola, Espanola, NM 87532. The listed phone number is (505) 367-0362.

What is Blair Hough's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Blair Hough enrolled in Medicare?

Yes. Blair Hough 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 Blair Hough accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and UnitedHealthcare list Blair Hough 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 Blair Hough affiliated with any hospitals?

According to CMS data, Blair Hough is affiliated with Presbyterian Espanola Hospital.

When was this NPI record last updated?

The NPPES record for Blair Hough was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.