DR. TIMOTHY JAMES HUGHES M.D.
NPI 1508026949
Otolaryngology in Chicago, IL

Active since June 10, 2008PECOS EnrolledAccepts Medicare Assignment
75.54/100
CMS Quality Rating
7447 W TALCOTT, SUITE 316, CHICAGO, IL 60631(312) 467-1285(312) 467-1465 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy James Hughes M.d. NPPES

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

DR. TIMOTHY JAMES HUGHES M.D. (NPI 1508026949) is an individual otolaryngology provider in Chicago, Illinois, licensed in Illinois (125047932) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Amita Health Resurrection Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2004).

NPPES Registry Identity

NPI1508026949
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. TIMOTHY JAMES HUGHESCredential: M.D.
Location Address7447 W TALCOTT, SUITE 316Chicago, IL 60631-3714
Mailing Address7447 W Talcott, Suite 316Chicago, IL 60631-3714 · (312) 467-1285 · Fax (312) 467-1465
Fax(312) 467-1465
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2004
Enumeration DateJune 10, 2008
Last NPPES UpdateJune 18, 2009
NPI 1508026949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in IL · 125047932
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
7447 W TALCOTT, Chicago, IL 60631

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. Timothy James 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 ID6305991381
PECOS Enrollment IDI20090826000702
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 14

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.
569 services404 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
340 services318 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.
204 services204 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
166 services123 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.
164 services164 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
106 services79 patients

Hospital Affiliations CMS Care Compare 2

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

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60631 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

75.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.89
Promoting Interoperability92
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
98%181 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
64%137 patients2/55-star benchmark: 100%
Advance Care Plan
0%1,447 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
17%167 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
0%1,287 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
86%3,910 patients4/55-star benchmark: 100%
e-Prescribing
95%438 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%2,457 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
2%2,847 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 917 patients
0%917 patients
Provide Patients Electronic Access to Their Health Information
44%1,014 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,342 patients
Patients totalRate: 1% · 1,342 patients
1%1,342 patients4/55-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.

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.

Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
2 suppliers12 claims730 services$2.55 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 18

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

Surgery
7447 W TALCOTT, SUITE 427
CHICAGO, IL 60631
Internal Medicine (Pulmonary Disease)
7447 W TALCOTT, SUITE 542
CHICAGO, IL 60631
Family Medicine
7447 W TALCOTT, SUITE 182
CHICAGO, IL 60631
Physical Therapist
7447 W TALCOTT, SUITE 501
CHICAGO, IL 60631
Physical Therapist
7447 W TALCOTT, #501
CHICAGO, IL 60631
Podiatrist (Foot & Ankle Surgery)
7447 W TALCOTT, SUITE 214
CHICAGO, IL 60631
Dentist (Pediatric Dentistry)
7447 W TALCOTT, SUITE 566
CHICAGO, IL 60631
Audiologist
7447 W TALCOTT, SUITE 316
CHICAGO, IL 60631

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 Timothy Hughes's NPI number?

The NPI number for Timothy Hughes is 1508026949. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Where is Timothy Hughes located?

Timothy Hughes practices at 7447 W Talcott Suite 316, Chicago, IL 60631. The listed phone number is (312) 467-1285.

What is Timothy Hughes's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Timothy Hughes enrolled in Medicare?

Yes. Timothy 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.

Is Timothy Hughes affiliated with any hospitals?

According to CMS data, Timothy Hughes is affiliated with Amita Health Resurrection Medical Center and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Hughes was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.