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DR. DAVID THOMAS HUGHES M.D.
NPI 1699138032
Internal Medicine in Columbus, OH

Active since April 02, 2016PECOS EnrolledAccepts Medicare Assignment
410 W 10TH AVE, COLUMBUS, OH 43210(614) 293-3989 Get Directions Write a Review

NPPES record last updated: May 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2019, Apr 2, 2016 (2 updates tracked since 2016).

About Dr. David Thomas Hughes M.d. NPPES

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

DR. DAVID THOMAS HUGHES M.D. (NPI 1699138032) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35.133006) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with University Hospitals Portage Medical Center, and is a graduate of University Of Colorado School Of Medicine, Denver (2016).

NPPES Registry Identity

NPI1699138032
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID THOMAS HUGHESCredential: M.D.
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing Address395 W 12th Ave Fl 3Columbus, OH 43210-1267 · (614) 293-3989
Phone(614) 293-3989
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2016
Enumeration DateApril 2, 2016
Last NPPES UpdateMay 5, 20192 updates tracked since enumeration
✔ NPI 1699138032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.133006
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
410 W 10TH AVE, Columbus, OH 43210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Thomas 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 ID4284921917
PECOS Enrollment IDI20190821003643
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.

Medicare Billing Reassignments

3

Medicare enrollment records show David Hughes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

4M Hospitalist Services, LLC
109 mi
Internal Medicine
525 E MARKET ST
Akron, OH 44304
  • Reassigned Medicare billing, Ohio enrollment
  • 259 clinicians in this Medicare group
NPI 1508288531 (844) 474-4019
Inpatient Medical Services, Inc.
118 mi
Internal Medicine
5700 DARROW RD STE 106
Hudson, OH 44236
  • Reassigned Medicare billing, Ohio enrollment
  • 215 clinicians in this Medicare group
NPI 1093756314 (844) 474-4019
University Hospitals Medical Group Inc
128 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
403 services145 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
122 services116 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
86 services27 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
66 services58 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
29 services26 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
23 services22 patients

Hospital Affiliations CMS Care Compare 2

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

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, fixed height, with any type side rails, with mattress E0250
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$31.23 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
1 supplier13 claims13 services$13.29 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier14 claims14 services$921.56 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 suppliers16 claims16 services$63.32 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 20

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

LARA L. VANHUYSEN C.R.N.A.
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8487
LAUREN TALANDA-FATH SOUTHERLAND M.D.
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Franklin County (614) 293-8305
RAFAL KOPANCZYK DO
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8487
RACHEL MARIE ASHWORTH CRNA
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8487
ADAM T. RAMEY MD
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7499
DR. AMY ELIZABETH SCHULTZ PHARM.D.
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Franklin County (614) 366-6754
MAYA HARARY MD
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8714
NICOLE L HESS APRN-CNP
Nurse Practitioner
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-9600

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 David Hughes's NPI number?

The NPI number for David Hughes is 1699138032. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Where is David Hughes located?

David Hughes practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-3989.

What is David Hughes's specialty?

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

Is David Hughes enrolled in Medicare?

Yes. David 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.

Which organizations bill Medicare for David Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Hughes reassigns Medicare benefits to 3 organizations: 4M Hospitalist Services, LLC (Akron, OH), Inpatient Medical Services, Inc. (Hudson, OH) and University Hospitals Medical Group Inc (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Hughes accept?

Health plans from CareSource and MedMutual list David 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 David Hughes affiliated with any hospitals?

According to CMS data, David Hughes is affiliated with University Hospitals Portage Medical Center and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for David Hughes was last updated on May 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.