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MATTHEW THOMAS HUGHES MSN, APRN, CPNP-AC
NPI 1760224174
Nurse Practitioner - Pediatrics in Winston Salem, NC

Active since June 07, 2024PECOS Enrolled
1 MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157(828) 776-5235 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 13, 2024, Jun 7, 2024 (2 updates tracked since 2024).

About Matthew Thomas Hughes Msn, Aprn, Cpnp-ac NPPES

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

MATTHEW THOMAS HUGHES MSN, APRN, CPNP-AC (NPI 1760224174) is an individual pediatrics provider in Winston Salem, North Carolina, licensed in North Carolina (244982) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760224174
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMATTHEW THOMAS HUGHESCredential: MSN, APRN, CPNP-AC
Location Address1 MEDICAL CENTER BOULEVARDWinston Salem, NC 27157-0001
Mailing Address21 Clement DrAsheville, NC 28805-1101 · (828) 776-5235
Phone(828) 776-5235
Sole ProprietorYes
Enumeration DateJune 7, 2024
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1760224174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NC · 244982
1 MEDICAL CENTER BOULEVARD, Winston Salem, NC 27157
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Thomas Hughes Msn, Aprn, Cpnp-ac 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 Matthew Hughes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Forest University Health Sciences
Same address
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1003803032 (336) 716-2255

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 27157 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

DR. ERIK LARSEN MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2783
JAKE WILLIAM DUPLOOY MD CANDIDATE
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD, 5TH FLOOR WATTLINGTON HALL
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
DR. SOLOMON KLOMBERS MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4490
DR. JARON KAI PRUETT MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4091
MADISON J ROMANO MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-9253
KELSEY LENA CRAVER MD
Emergency Medicine
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 713-9200
SAURAV SUMUGHAN MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 749-7283
WILLIAM CHILDS LIPPERT M.D., M.P.H.
Hospitalist
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 713-5215

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 1760224174. It was assigned to this individual provider in the NPPES registry on June 7, 2024.

Where is Matthew Hughes located?

Matthew Hughes practices at 1 Medical Center Boulevard, Winston Salem, NC 27157. The listed phone number is (828) 776-5235.

What is Matthew Hughes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Matthew Hughes enrolled in Medicare?

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

Which organization bills Medicare for Matthew Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Hughes reassigns Medicare benefits to Wake Forest University Health Sciences (Winston Salem, NC). 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 Matthew Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Hughes accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Matthew 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 Matthew Hughes was last updated on June 13, 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.