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WILLIAM S HUGHES DO
NPI 1700813151
Family Medicine in Joplin, MO

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
702 E 34TH ST STE 202, JOPLIN, MO 64804(417) 347-2526(417) 347-2553 Get Directions Write a Review

NPPES record last updated: October 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William S Hughes Do NPPES

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

WILLIAM S HUGHES DO (NPI 1700813151) is an individual family medicine provider in Joplin, Missouri, licensed in Missouri (R8H07) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Joplin, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1987).

NPPES Registry Identity

NPI1700813151
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM S HUGHESCredential: DO
Location Address702 E 34TH ST STE 202Joplin, MO 64804-3921
Mailing AddressPo Box 3810Joplin, MO 64803-3810 · (417) 347-2526 · Fax (417) 347-2553
Phone(417) 347-2526
Fax(417) 347-2553
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1987
Enumeration DateJune 28, 2006
Last NPPES UpdateOctober 6, 2009
✔ NPI 1700813151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · R8H07
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.
702 E 34TH ST STE 202, Joplin, MO 64804
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Other Identifiers 7

Medicaid242763605MO
OtherP00175241Rr Medicare
Other6168MO · Anthem
Medicare UPINE24318
Medicare PIN327633657MO
Medicaid100231000DKS
Medicaid100183510AOK

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 Sunflower Health Plan 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 S Hughes Do 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 ID6406812254
PECOS Enrollment IDI20041203000562
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 2

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.
332 services170 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.
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.

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260001
Location100 Mercy WayJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost58.46

Referred Medical Equipment & Supplies CMS DME claims 3

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
12 suppliers33 claims79 services$6.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers18 claims23 services$1.06 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 suppliers18 claims18 services$78.22 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 2

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

DENNIS YOUNKER MD
Family Medicine
702 E 34TH ST STE 202
JOPLIN, MO 64804
Newton County (417) 347-2535
NAMRATA SUSARLA MD
Internal Medicine
702 E 34TH ST STE 202
JOPLIN, MO 64804
Newton County (417) 347-2525

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 1700813151. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is William Hughes located?

William Hughes practices at 702 E 34th St Ste 202, Joplin, MO 64804. The listed phone number is (417) 347-2526.

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 Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 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 Mercy Hospital Joplin and Freeman Health System - Freeman West.

When was this NPI record last updated?

The NPPES record for William Hughes was last updated on October 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.