MICHAEL SCOTT HUGHES M.D.
NPI 1811959885
Internal Medicine in Addison, TX

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
14131 MIDWAY RD, SUITE 620, ADDISON, TX 75001(972) 249-0200(972) 249-0206 Get Directions Write a Review

NPPES record last updated: September 22, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Scott Hughes M.d. NPPES

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

MICHAEL SCOTT HUGHES M.D. (NPI 1811959885) is an individual internal medicine provider in Addison, Texas, licensed in Texas (J8592) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Md Shore Medical Center At Easton, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (1994).

NPPES Registry Identity

NPI1811959885
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL SCOTT HUGHESCredential: M.D.
Location Address14131 MIDWAY RD, SUITE 620Addison, TX 75001-3623
Mailing Address14131 Midway Rd, Suite 620Addison, TX 75001-3623 · (972) 249-0200 · Fax (972) 249-0206
Fax(972) 249-0206
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 1994
Enumeration DateApril 5, 2006
Last NPPES UpdateSeptember 22, 2008
✔ NPI 1811959885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · J8592
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
14131 MIDWAY RD, Addison, TX 75001

Other Identifiers 6

Other5175694TX · Aetna
Other8A6849TX · Bcbs
Medicare PIN8L0925TX
Medicare UPING46522
Medicare PIN8396J2TX
Medicaid145088403TX

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

Michael Scott 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 ID5294801452
PECOS Enrollment IDI20080911000686, I20220425001965, I20260115002088
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 Reassignments

10

Medicare enrollment records show Michael Hughes reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
Hospitalist
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Sound Inpatient Physicians Of Texas I, Inc
  • 478 clinicians in this Medicare group
Internal Medicine
1204 N MOUND ST
Nacogdoches, TX 75961
  • Reassigned Medicare billing, Texas enrollment
  • 41 clinicians in this Medicare group
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 clinicians in this Medicare group
Family Medicine
3001 PALM WAY, D1 : 134-138
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
Emergency Medicine
6161 S YALE AVE
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 300 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Oklahoma and Texas enrollments
  • 284 clinicians in this Medicare group
Hospitalist
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 681 clinicians in this Medicare group
Hospitalist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 861 clinicians in this Medicare group
Emergency Medicine
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Maryland enrollment
  • 729 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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
222 services107 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
195 services91 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
70 services70 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
66 services66 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Nacogdoches Medical Center

Acute Care Hospitals · Nacogdoches, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450656
Location4920 NE Stallings DriveNacogdoches, TX 75965 · Nacogdoches County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75001 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%266 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$17.69 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims17 services$90.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001
Behavior Technician
14131 MIDWAY RD
ADDISON, TX 75001
Hospitalist
14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001
Internal Medicine
14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001
Internal Medicine
14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001
Nurse Practitioner
14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001
Hospitalist
14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001
Family Medicine
14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001

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 Michael Hughes's NPI number?

The NPI number for Michael Hughes is 1811959885. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Michael Hughes located?

Michael Hughes practices at 14131 Midway Rd Suite 620, Addison, TX 75001. The listed phone number is (972) 249-0200.

What is Michael Hughes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Hughes enrolled in Medicare?

Yes. Michael 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 organizations bill Medicare for Michael Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hughes reassigns Medicare benefits to 10 organizations: Cogent Healthcare Of Texas, PA (Dallas, TX), Sound Inpatient Physicians Of Texas 1, Inc (Fort Worth, TX), Lone Star Integrated Acute Care Of East Texas PLLC (Nacogdoches, TX), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX), Seton Family Of Doctors (Austin, TX) and 5 more organizations, listed in the Medicare section above. Each 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 Michael Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Hughes accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Michael 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 Michael Hughes affiliated with any hospitals?

According to CMS data, Michael Hughes is affiliated with University Of MD Shore Medical Center At Easton, Ascension St John Medical Center, Baptist Medical Center and Nacogdoches Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Hughes was last updated on September 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.