DR. DOUGLAS GEORGE HUGHES M.D.
NPI 1811019409
Neurological Surgery in La Crosse, WI

Q: What is Douglas Hughes's NPI number?

The NPI number for Douglas Hughes is 1811019409. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Q: What is Douglas Hughes's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Hughes was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 04, 2007PECOS EnrolledAccepts Medicare Assignment

1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Douglas George Hughes M.d. NPPES

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

DR. DOUGLAS GEORGE HUGHES M.D. (NPI 1811019409) is an individual neurological surgery provider in La Crosse, Wisconsin, licensed in Wisconsin (61542) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1811019409

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. DOUGLAS GEORGE HUGHESCredential: M.D.

Location Address1836 SOUTH AVELa Crosse, WI 54601-5429

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 782-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 4, 2007

Last NPPES UpdateDecember 3, 2013

✔ NPI 1811019409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

Licenses✔ Licensed in WI · 61542✔ Licensed in GA · RTP001881✔ Licensed in NV · 14751

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

1836 SOUTH AVE, La Crosse, WI 54601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW 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

Dr. Douglas George 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 ID8325288442

PECOS Enrollment IDI20131219000620

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 8

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.

127 services83 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

64 services64 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

46 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services27 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

21 services20 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520004

Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520087

Location1910 South AveLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

JEFFREY BRIAN TROHKIMOINEN M.D.

Anesthesiology

1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601

La Crosse County (608) 775-2031

JESSICA E THESING CRNA

Nurse Anesthetist, Certified Registered