GRADY M. HUGHES M.D.
NPI 1790825313
Ophthalmology in Seattle, WA

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1600 E JEFFERSON ST, SUITE 202, SEATTLE, WA 98122(206) 320-5686(206) 320-8145 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grady M. Hughes M.d. NPPES

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

GRADY M. HUGHES M.D. (NPI 1790825313) is an individual ophthalmology provider in Seattle, Washington, licensed in Washington (MD00023727) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (1982).

NPPES Registry Identity

NPI1790825313
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGRADY M. HUGHESCredential: M.D.
Location Address1600 E JEFFERSON ST, SUITE 202Seattle, WA 98122-5698
Mailing Address1600 E Jefferson St, Suite 202Seattle, WA 98122-5698 · (206) 320-5686 · Fax (206) 320-8145
Fax(206) 320-8145
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1982
Enumeration DateFebruary 7, 2007
Last NPPES UpdateApril 3, 2018
✔ NPI 1790825313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WA · MD00023727
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.
1600 E JEFFERSON ST, Seattle, WA 98122

Other Identifiers 4

Medicaid7064645WA
Medicaid1015361WA
Other77260WA · Labor & Industry
Medicaid1117662WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grady M. Hughes M.d. 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 ID2264694389
PECOS Enrollment IDI20120507000057
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 Grady Hughes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Ophthalmology
1600 E JEFFERSON ST, SUITE 202
Seattle, WA 98122
  • Reassigned Medicare billing, Washington enrollment
  • 6 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 10

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.
618 services271 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
505 services499 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).
77 services72 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.
72 services70 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
65 services65 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
42 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98122 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Physical Medicine & Rehabilitation (Sports Medicine)
1600 E JEFFERSON ST, STE 300
SEATTLE, WA 98122
Otolaryngology
1600 E JEFFERSON ST, SUITE 205
SEATTLE, WA 98122
Psychiatry & Neurology (Psychiatry)
1600 E JEFFERSON ST, STE 401
SEATTLE, WA 98122
Physical Medicine & Rehabilitation
1600 E JEFFERSON ST, SUITE 300
SEATTLE, WA 98122
Physical Medicine & Rehabilitation
1600 E JEFFERSON ST, SUITE 600
SEATTLE, WA 98122
Psychologist
1600 E JEFFERSON ST, STE 510
SEATTLE, WA 98122
Surgery (Vascular Surgery)
1600 E JEFFERSON ST, SUITE 101
SEATTLE, WA 98122
Interpreter
1600 E JEFFERSON ST
SEATTLE, WA 98122

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 Grady Hughes's NPI number?

The NPI number for Grady Hughes is 1790825313. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Grady Hughes located?

Grady Hughes practices at 1600 E Jefferson St Suite 202, Seattle, WA 98122. The listed phone number is (206) 320-5686.

What is Grady Hughes's specialty?

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

Is Grady Hughes enrolled in Medicare?

Yes. Grady 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.

Which organization bills Medicare for Grady Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grady Hughes reassigns Medicare benefits to Grady M. Hughes (Seattle, WA). 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 Grady Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grady Hughes accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Grady 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 Grady Hughes was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.