BENJAMIN H HUGHES M.D.
NPI 1811130230
Pediatrics - Sleep Medicine in Grand Junction, CO

Q: What is Benjamin Hughes's NPI number?

The NPI number for Benjamin Hughes is 1811130230. It was assigned to this individual provider in the NPPES registry on April 15, 2009.

Q: What is Benjamin Hughes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sleep Medicine, with taxonomy code 2080S0012X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Hughes was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 15, 2009PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

3150 N 12TH ST, GRAND JUNCTION, CO 81506(720) 848-0000 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 27, 2026, Oct 31, 2017 (2 updates tracked since 2017).

On this page

About Benjamin H Hughes M.d. NPPES

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

BENJAMIN H HUGHES M.D. (NPI 1811130230) is an individual sleep medicine provider in Grand Junction, Colorado, licensed in Colorado (DR.0051701) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Texas Medical Branch At Galveston (2009).

NPPES Registry Identity

NPI1811130230

Entity TypeIndividualMale

Primary Taxonomy2080S0012X

Provider Legal NameBENJAMIN H HUGHESCredential: M.D.

Location Address3150 N 12TH STGrand Junction, CO 81506-2863

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(720) 848-0000

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2009

Enumeration DateApril 15, 2009

Last NPPES UpdateApril 27, 20262 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1811130230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0012X

License✔ Licensed in CO · DR.0051701

Definition

A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License DR.0051701 (CO)

Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License DR.0051701 (CO)

3150 N 12TH ST, Grand Junction, CO 81506

Open in Google Maps ↗

Secondary Practice Locations 2

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (720) 777-1234

Location 213001 E 17th PlAurora, CO 80045-2570 · Phone (303) 724-6031

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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

Benjamin H 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 ID2365685591

PECOS Enrollment IDI20170112001530

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81506 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

CHRISTINA L MOORE OT

Occupational Therapist

3150 N 12TH ST
GRAND JUNCTION, CO 81506

Mesa County (970) 241-5856

PATRICK HENKE DO

Family Medicine

3150 N 12TH ST
GRAND JUNCTION, CO 81506

Mesa County (970) 245-1220

S. CHRISTOPHER WEAVER MD

Family Medicine

3150 N 12TH ST
GRAND JUNCTION, CO 81506

Mesa County (970) 245-1220

KENT E SNOWBARGER ED.D

Psychologist (Clinical)

3150 N 12TH ST
GRAND JUNCTION, CO 81506

Mesa County (970) 242-5707

MOUNTAIN VALLEY REHABILITATION, PC

Clinic/Center (Physical Therapy)

3150 N 12TH ST, GARDEN LEVEL
GRAND JUNCTION, CO 81506

Mesa County (970) 241-5856

GARY A MILLER LCSW

Social Worker (Clinical)

3150 N 12TH ST
GRAND JUNCTION, CO 81506

Mesa County (970) 242-5707

LACEY R ESTES PA

Physician Assistant

3150 N 12TH ST
GRAND JUNCTION, CO 81506

Mesa County (970) 245-9370

VANESSA R CARTER R.D.

Dietitian, Registered

3150 N 12TH ST
GRAND JUNCTION, CO 81506

Mesa County (970) 255-1576

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 Benjamin Hughes's NPI number?

The NPI number for Benjamin Hughes is 1811130230. It was assigned to this individual provider in the NPPES registry on April 15, 2009.

Where is Benjamin Hughes located?

Benjamin Hughes practices at 3150 N 12th St, Grand Junction, CO 81506. The listed phone number is (720) 848-0000.

What is Benjamin Hughes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sleep Medicine, with taxonomy code 2080S0012X.

Is Benjamin Hughes enrolled in Medicare?

Yes. Benjamin 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 Benjamin Hughes accept?

Health plans from Medica and UnitedHealthcare list Benjamin 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 Benjamin Hughes was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.