LLOYD D HUGHES DO
NPI 1710065297
Family Medicine in St Francis, WI

Q: What is Lloyd Hughes's NPI number?

The NPI number for Lloyd Hughes is 1710065297. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Lloyd 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 Lloyd Hughes was last updated on September 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

86.37/100

CMS Quality Rating

2000 E LAYTON AVE, ST FRANCIS, WI 53235(414) 744-6589(414) 747-8848 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Lloyd D Hughes Do NPPES

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

LLOYD D HUGHES DO (NPI 1710065297) is an individual family medicine provider in St Francis, Wisconsin, licensed in Wisconsin (28669-21) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Naples Community Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1710065297

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLLOYD D HUGHESCredential: DO

Location Address2000 E LAYTON AVESt Francis, WI 53235-6035

Mailing Address100-15th Ave, Ste 180South Milwaukee, WI 53172-1160 · (414) 768-5430 · Fax (414) 762-4225

Phone(414) 744-6589

Fax(414) 747-8848

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateNovember 1, 2006

Last NPPES UpdateSeptember 25, 2012

✔ NPI 1710065297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 28669-21

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.

2000 E LAYTON AVE, St Francis, WI 53235

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Other Identifiers 1

Medicare PIN02120-0007WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Lloyd D 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 ID9436136298

PECOS Enrollment IDI20220617001490

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 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.

399 services277 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.

324 services196 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.

189 services189 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

154 services30 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.

71 services71 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

68 services28 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.

37 services37 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

31 services31 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.

27 services27 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.

24 services24 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

20 services20 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

19 services19 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

14 services14 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Naples Community Hospital

Acute Care Hospitals · Naples, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100018

Location350 7th St NNaples, FL 34102 · Collier County

Emergency services Birthing friendly

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100286

Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53235 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

86.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

72.75

Promoting Interoperability

100

Improvement Activities

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.

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

DME-Other DME · category DE017N

11 suppliers28 claims84 services$6.27 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.

EDWARD ST VILLE M.D

Radiology (Diagnostic Radiology)

2000 E LAYTON AVE
ST FRANCIS, WI 53235

Milwaukee County (414) 744-6589

KATELYN VANA HAASCH PA-C

Physician Assistant

2000 E LAYTON AVE
ST FRANCIS, WI 53235

Milwaukee County (414) 744-7880

ALEXANDRIA JOHNSON DPT

Physical Therapist

2000 E LAYTON AVE
ST FRANCIS, WI 53235

Milwaukee County (414) 747-8400

DR. MASSIHULLAH HAMIDI M.D., PH.D.

Radiology (Diagnostic Radiology)

2000 E LAYTON AVE
ST FRANCIS, WI 53235

Milwaukee County (414) 744-6589

RICHARD M. HAYES M.D.

Internal Medicine

2000 E LAYTON AVE
SAINT FRANCIS, WI 53235

Milwaukee County (414) 744-6589

HERSLOF'S, INC

Technician/Technologist (Optician)

2000 E LAYTON AVE, SUITE 110
MILWAUKEE, WI 53235

Milwaukee County (414) 481-8107

CHRISTOPHER DIMINO

Specialist/Technologist (Athletic Trainer)

2000 E LAYTON AVE
SAINT FRANCIS, WI 53235

Milwaukee County (608) 575-2799

KARIN LEE WASIULLAH FNP

Nurse Practitioner (Family)

2000 E LAYTON AVE
ST FRANCIS, WI 53235

Milwaukee County (414) 744-6589

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 Lloyd Hughes's NPI number?

The NPI number for Lloyd Hughes is 1710065297. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Lloyd Hughes located?

Lloyd Hughes practices at 2000 E Layton Ave, St Francis, WI 53235. The listed phone number is (414) 744-6589.

What is Lloyd Hughes's specialty?

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

Is Lloyd Hughes enrolled in Medicare?

Yes. Lloyd 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 Lloyd Hughes accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lloyd 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 Lloyd Hughes affiliated with any hospitals?

According to CMS data, Lloyd Hughes is affiliated with Naples Community Hospital and Physicians Regional Medical Center - Pine Ridge.

When was this NPI record last updated?

The NPPES record for Lloyd Hughes was last updated on September 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.