DR. MATTHEW JOSEPH HUGHES MD
NPI 1710500491
Emergency Medicine in San Leandro, CA

Active since May 28, 2020PECOS EnrolledAccepts Medicare Assignment
81.12/100
CMS Quality Rating
13855 E 14TH ST, SAN LEANDRO, CA 94578(510) 357-6500 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2024, Jun 14, 2024, May 28, 2020 (3 updates tracked since 2020).

About Dr. Matthew Joseph Hughes Md NPPES

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

DR. MATTHEW JOSEPH HUGHES MD (NPI 1710500491) is an individual emergency medicine provider in San Leandro, California, licensed in California (A195757) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710500491
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MATTHEW JOSEPH HUGHESCredential: MD
Location Address13855 E 14TH STSan Leandro, CA 94578-2600
Mailing Address1969 W Ogden AveChicago, IL 60612-3765
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 28, 2020
Last NPPES UpdateJuly 18, 20243 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1710500491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CA · A195757 Licensed in IL · 125.075987
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

13855 E 14TH ST, San Leandro, CA 94578

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. Matthew Joseph Hughes Md 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 ID244650265
PECOS Enrollment IDI20240802001984
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
134 services130 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
73 services73 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services18 patients
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.
15 services15 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94578 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

81.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.83
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
13855 E 14TH ST
SAN LEANDRO, CA 94578
Physician Assistant
13855 E 14TH ST
SAN LEANDRO, CA 94578
General Acute Care Hospital
13855 E 14TH ST
SAN LEANDRO, CA 94578
Emergency Medicine
13855 E 14TH ST
SAN LEANDRO, CA 94578
Emergency Medicine
13855 E 14TH ST
SAN LEANDRO, CA 94578
Rehabilitation Hospital
13855 E 14TH ST
SAN LEANDRO, CA 94578
Nurse Practitioner (Family)
13855 E 14TH ST
SAN LEANDRO, CA 94578
Physician Assistant (Medical)
13855 E 14TH ST
SAN LEANDRO, CA 94578

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 Matthew Hughes's NPI number?

The NPI number for Matthew Hughes is 1710500491. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Matthew Hughes located?

Matthew Hughes practices at 13855 E 14th St, San Leandro, CA 94578. The listed phone number is (510) 357-6500.

What is Matthew Hughes's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Hughes enrolled in Medicare?

Yes. Matthew 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.

When was this NPI record last updated?

The NPPES record for Matthew Hughes was last updated on July 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.