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MARK D HUGHES MD
NPI 1740246446
Pediatrics in Pleasant View, TN

Active since April 22, 2006PECOS Enrolled
6509 HIGHWAY 41A, PLEASANT VIEW, TN 37146(615) 746-4040(615) 746-4044 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark D Hughes Md NPPES

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

MARK D HUGHES MD (NPI 1740246446) is an individual pediatrics provider in Pleasant View, Tennessee, licensed in Tennessee (MD40692) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740246446
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMARK D HUGHESCredential: MD
Location Address6509 HIGHWAY 41APleasant View, TN 37146-7170
Mailing Address1335 Rock Springs RoadSmyrna, TN 37167-6108 · (615) 459-5252 · Fax (615) 459-5232
Phone(615) 746-4040
Fax(615) 746-4044
Sole ProprietorNo
Enumeration DateApril 22, 2006
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1740246446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · MD40692
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6509 HIGHWAY 41A, Pleasant View, TN 37146
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Other Identifiers 1

Medicaid5444077TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark D Hughes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mark Hughes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grace Pediatrics PLLC
40 mi
Pediatrics
1335 ROCK SPRINGS ROAD
Smyrna, TN 37167
  • Reassigned Medicare billing, Tennessee enrollment
NPI 1467781690 (615) 459-5252

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37146 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

CHILDREN'S DENTAL HEALTH CENTER, PLLC
Dentist (Pediatric Dentistry)
6509 HIGHWAY 41A, SUITE B
PLEASANT VIEW, TN 37146
Cheatham County (615) 256-7543
DENTAL SPECIALTY EDUCATION, INC.
Dentist (Pediatric Dentistry)
6509 HIGHWAY 41A, SUITE A
PLEASANT VIEW, TN 37146
Cheatham County (615) 247-7100

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 Mark Hughes's NPI number?

The NPI number for Mark Hughes is 1740246446. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Mark Hughes located?

Mark Hughes practices at 6509 Highway 41A, Pleasant View, TN 37146. The listed phone number is (615) 746-4040.

What is Mark Hughes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mark Hughes enrolled in Medicare?

Yes. Mark Hughes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Hughes reassigns Medicare benefits to Grace Pediatrics PLLC (Smyrna, TN). The 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 Mark Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Hughes accept?

Health plans from Cigna Healthcare and Oscar Insurance Company list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Hughes was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.