WILLIAM D HUGHES M.D.
NPI 1497862999
Family Medicine in Fayetteville, TN

Q: What is William Hughes's NPI number?

The NPI number for William Hughes is 1497862999. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Q: What is William 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 William Hughes was last updated on April 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 August 23, 2006PECOS EnrolledAccepts Medicare Assignment

108 MEDICAL CENTER BLVD, SUITE G-50, FAYETTEVILLE, TN 37334(931) 438-4111(866) 258-0817 Get Directions Write a Review

NPPES record last updated: April 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About William D Hughes M.d. NPPES

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

WILLIAM D HUGHES M.D. (NPI 1497862999) is an individual family medicine provider in Fayetteville, Tennessee, licensed in Tennessee (34383) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Singing River Gulfport, and is a graduate of University Of Alabama School Of Medicine (1997).

NPPES Registry Identity

NPI1497862999

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameWILLIAM D HUGHESCredential: M.D.

Location Address108 MEDICAL CENTER BLVD, SUITE G-50Fayetteville, TN 37334-2741

Mailing Address108 Medical Center Blvd, Suite G-50Fayetteville, TN 37334-2741 · (931) 438-4111 · Fax (866) 258-0817

Phone(931) 438-4111

Fax(866) 258-0817

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1997

Enumeration DateAugust 23, 2006

Last NPPES UpdateApril 4, 2014

✔ NPI 1497862999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TN · 34383✔ Licensed in KY · 34256

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.

108 MEDICAL CENTER BLVD, Fayetteville, TN 37334

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Other Identifiers 6

Other4015774TN · Bcbs Tn

Medicaid3854529TN

Medicare ID-Type Unspecified3854520TN

Medicare UPINH14496TN

Other89009848AL · Bcbs Al

Medicare NSC1497862999TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

William D Hughes 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 ID1355374083

PECOS Enrollment IDI20050914000238

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 18

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.

378 services181 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.

137 services93 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

137 services35 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

119 services119 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

118 services118 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

109 services109 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

109 services109 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.

106 services106 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

84 services67 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

60 services36 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

58 services58 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

52 services50 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

49 services49 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

37 services37 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

25 services12 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

21 services21 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

20 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS

1/5 CMS rating

OwnershipProprietary

CMS Certification Number250123

Location15200 Community RoadGulfport, MS 39503 · Harrison County

Emergency services

Lincoln Medical Center

Acute Care Hospitals · Fayetteville, TN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440102

Location106 Medical Center BlvdFayetteville, TN 37334 · Lincoln County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37334 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

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

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%7,572 patients4/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

80%3,776 patients3/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

36%1,667 patients2/55-star benchmark: 99%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

32%1,667 patients2/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

0%1,667 patients1/55-star benchmark: 59%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

97%306 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers16 claims44 services$5.53 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers45 claims45 services$19.31 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$52.92 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier14 claims14 services$8.51 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers58 claims58 services$98.26 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers21 claims2,340 services$0.07 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 17

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

LINCOLN MEDICAL CENTER SURGICAL CLINIC

Clinic/Center

108 MEDICAL CENTER BLVD, SUITE 175
FAYETTEVILLE, TN 37334

Lincoln County (931) 438-1100

RICHARD WILLIAM CLINE JR. D.O.

Family Medicine

108 MEDICAL CENTER BLVD, SUITE G-50
FAYETTEVILLE, TN 37334

Lincoln County (931) 438-4111

LINCOLN MEDICAL CENTER OBGYN CLINIC

Obstetrics & Gynecology

108 MEDICAL CENTER BLVD, SUITE 150
FAYETTEVILLE, TN 37334

Lincoln County (931) 433-1105

MONKS IMAGING LLC

Radiologic Technologist

108 MEDICAL CENTER BLVD, BOX 7
FAYETTEVILLE, TN 37334

Lincoln County (931) 438-9085

TENNESSEE ONCOLOGY PLLC

Internal Medicine (Hematology & Oncology)

108 MEDICAL CENTER BLVD, STE G25
FAYETTEVILLE, TN 37334

Lincoln County (931) 433-3477

TOP FLIGHT MEDICAL GROUP LLC

Specialist

108 MEDICAL CENTER BLVD, SUITE G25
FAYETTEVILLE, TN 37334

Lincoln County (615) 340-3436

PARKWAY MEDICAL GROUP, PC

Family Medicine

108 MEDICAL CENTER BLVD, SUITE G-50
FAYETTEVILLE, TN 37334

Lincoln County (931) 438-4111

WILLIAM A EDWARDS M.D.

Family Medicine

108 MEDICAL CENTER BLVD, SUITE G 50
FAYETTEVILLE, TN 37334

Lincoln County (931) 438-4111

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 William Hughes's NPI number?

The NPI number for William Hughes is 1497862999. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is William Hughes located?

William Hughes practices at 108 Medical Center Blvd Suite G-50, Fayetteville, TN 37334. The listed phone number is (931) 438-4111.

What is William Hughes's specialty?

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

Is William Hughes enrolled in Medicare?

Yes. William 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 William Hughes accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list William 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 William Hughes affiliated with any hospitals?

According to CMS data, William Hughes is affiliated with Singing River Gulfport and Lincoln Medical Center.

When was this NPI record last updated?

The NPPES record for William Hughes was last updated on April 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.