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BRET ALAN HUGHES MD
NPI 1760420822
Ophthalmology in Detroit, MI

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE, DETROIT, MI 48201(313) 577-8900(313) 577-0700 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bret Alan Hughes Md NPPES

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

BRET ALAN HUGHES MD (NPI 1760420822) is an individual ophthalmology provider in Detroit, Michigan, licensed in Michigan (4301064452) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Straith Hospital For Special Surgery, and is a graduate of Tulane University School Of Medicine (1988).

NPPES Registry Identity

NPI1760420822
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameBRET ALAN HUGHESCredential: MD
Location Address4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTEDetroit, MI 48201-1423
Mailing Address1560 E Maple Rd, Suite 400-credentialingTroy, MI 48083-1138 · (313) 577-8900 · Fax (313) 577-0700
Phone(313) 577-8900
Fax(313) 577-0700
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1988
Enumeration DateJune 2, 2006
Last NPPES UpdateOctober 3, 2016
✔ NPI 1760420822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 4301064452
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4717 SAINT ANTOINE ST, Detroit, MI 48201
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN0P30630377MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Bret Alan 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 ID941198055
PECOS Enrollment IDI20040310000025
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 11

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.
530 services333 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
470 services328 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
224 services219 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.
138 services111 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
49 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
39 services37 patients

Hospital Affiliations CMS Care Compare

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

Straith Hospital For Special Surgery

Acute Care Hospitals · Southfield, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230071
Location23901 LahserSouthfield, MI 48033 · Oakland County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Breast Cancer Screening
31%661 patients2/55-star benchmark: 93%
Cervical Cancer Screening
17%322 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
12%1,151 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
34%183 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
93%299 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
89%299 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,671 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%1,336 patients1/55-star benchmark: 100%
HIV Screening
2%643 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
3%1,924 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%1,881 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%3,202 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 3% · 1,485 patients
2%1,485 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
3%1,037 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%366 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,393 patients
Patients totalRate: 1% · 1,394 patients
1%1,394 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. HASSAN ALI TOKKO MD
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 577-7614
WILLIAM ROBERT LUCAS JR. MD
Ophthalmology
4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE
DETROIT, MI 48201
Wayne County (313) 577-8900
UNIVERSITY PHYSICIAN GROUP
Optometrist
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 577-8900
TUBA SOHAIL MIRZA DO
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 577-8900
PRADEEPA YOGANATHAN MD
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 577-8932
MARYAM ASHRAFKHORASANI
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 577-8900
NIKITA KAUR BHANGU MD
Student in an Organized Health Care Education/Training Program
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
CLAIRE SIMONS MD
Student in an Organized Health Care Education/Training Program
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 577-8900

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 Bret Hughes's NPI number?

The NPI number for Bret Hughes is 1760420822. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Bret Hughes located?

Bret Hughes practices at 4717 Saint Antoine St Kresge Eye Institute, Detroit, MI 48201. The listed phone number is (313) 577-8900.

What is Bret Hughes's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Bret Hughes enrolled in Medicare?

Yes. Bret 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 Bret Hughes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Bret 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 Bret Hughes affiliated with any hospitals?

According to CMS data, Bret Hughes is affiliated with Straith Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Bret Hughes was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.