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

Q: 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.

Q: What is Michael Hughes's specialty?

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

Q: 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 17 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 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: August 02, 2026.

On this page

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

Phone(972) 249-0200

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

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Other Identifiers 6

Other5175694TX · Aetna

Other8A6849TX · Bcbs

Medicare PIN8L0925TX

Medicare UPING46522

Medicare PIN8396J2TX

Medicaid145088403TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Health Maintenance Organization of Florida 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

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.

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 5

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 Jane Phillips

Acute Care Hospitals · Bartlesville, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370018

Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County

Emergency services Birthing friendly

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

St John Owasso

Acute Care Hospitals · Owasso, OK

OwnershipVoluntary non-profit - Private

CMS Certification Number370227

Location12451 East 100th Street NorthOwasso, OK 74055 · 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

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.

ANEESHA A. ASHER MD

Internal Medicine

14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001

Dallas County (972) 249-0200

ALEXIS RUMBAUGH

Behavior Technician

14131 MIDWAY RD
ADDISON, TX 75001

Dallas County (469) 351-4203

IPC PAC HEALTHCARE SERVICES OF TEXAS PLLC

Hospitalist

14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001

Dallas County (972) 249-0200

SYED A IMAM MD

Internal Medicine

14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001

Dallas County (972) 249-0200

ALEXANDER HUNG TRAN M.D.

Internal Medicine

14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001

Dallas County (972) 249-0200

LINDA LEE MARTIN CERTIFIED FNP, DNP

Nurse Practitioner

14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001

Dallas County (972) 249-0206

INPATIENT CONSULTANTS OF TEXAS, PLLC

Hospitalist

14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001

Dallas County (972) 249-0200

DR. YESHODRA SAGAR MD

Family Medicine

14131 MIDWAY RD, SUITE 620
ADDISON, TX 75001

Dallas County (972) 249-0200

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.

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 Jane Phillips, Ascension St John Medical Center, St John Owasso and Baptist 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 17 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.