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HAROLD W. HUGHES M.D.
NPI 1699703124
Internal Medicine - Pulmonary Disease in El Paso, TX

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
4801 ALBERTA AVE., EL PASO, TX 79905(915) 545-6647(915) 545-9799 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Harold W. Hughes M.d. NPPES

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

HAROLD W. HUGHES M.D. (NPI 1699703124) is an individual pulmonary disease provider in El Paso, Texas, licensed in Texas (H2475) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of El Paso, and is a graduate of University Of Texas Medical Branch At Galveston (1986).

NPPES Registry Identity

NPI1699703124
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameHAROLD W. HUGHESCredential: M.D.
Location Address4801 ALBERTA AVE.El Paso, TX 79905
Mailing AddressPo Box 9520El Paso, TX 79995-9520 · (915) 545-9795 · Fax (915) 545-9799
Phone(915) 545-6647
Fax(915) 545-9799
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1986
Enumeration DateJune 30, 2006
Last NPPES UpdateDecember 12, 2012
✔ NPI 1699703124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · H2475
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License H2475 (TX)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License H2475 (TX)
4801 ALBERTA AVE., El Paso, TX 79905
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Other Identifiers 6

Medicare UPING89031TX
Medicare ID-Type Unspecified85044JTX
Medicare PIN8879N0TX
OtherPH0009TX · Ptan
Medicaid104497602TX
Other88981STX · Bcbs Of Texas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare 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

Harold W. 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 ID5092816298
PECOS Enrollment IDI20070718000179
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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
94 services40 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.
21 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450024
Location4815 Alameda AveEl Paso, TX 79905 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79905 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Pediatrics
4801 ALBERTA AVE.
EL PASO, TX 79905
El Paso County (915) 545-7579
ARMANDO D. MEZA M.D.
Internal Medicine (Infectious Disease)
4801 ALBERTA AVE., 4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 545-6647
VAISHNAVI SABESAN M.D.,
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE.
EL PASO, TX 79905
El Paso County (915) 215-8000
AZIKIWE C. NWOSU M.D.
Internal Medicine (Nephrology)
4801 ALBERTA AVE.
EL PASO, TX 79905
El Paso County (915) 545-6647
MANUEL RIVERA M.D.
Internal Medicine (Pulmonary Disease)
4801 ALBERTA AVE.
EL PASO, TX 79905
El Paso County (915) 545-6647
LINDA R. CANADA CNM
Advanced Practice Midwife
4801 ALBERTA AVE.
EL PASO, TX 79905
El Paso County (915) 545-7501
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Orthopaedic Surgery
4801 ALBERTA AVE., 230C
EL PASO, TX 79905
El Paso County (915) 545-6664
SUSAN F. MCLEAN M.D.
Surgery (Surgical Critical Care)
4801 ALBERTA AVE.
EL PASO, TX 79905
El Paso County (915) 545-7507

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 Harold Hughes's NPI number?

The NPI number for Harold Hughes is 1699703124. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Harold Hughes located?

Harold Hughes practices at 4801 Alberta Ave., El Paso, TX 79905. The listed phone number is (915) 545-6647.

What is Harold Hughes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Harold Hughes enrolled in Medicare?

Yes. Harold 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 Harold Hughes accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Harold 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 Harold Hughes affiliated with any hospitals?

According to CMS data, Harold Hughes is affiliated with University Medical Center Of El Paso.

When was this NPI record last updated?

The NPPES record for Harold Hughes was last updated on December 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.