MICHAEL D. HUGHES M.D.
NPI 1831109255
Preventive Medicine - Occupational Medicine in La Mesa, CA

Active since August 08, 2006PECOS Enrolled
73.62/100
CMS Quality Rating
5525 GROSSMONT CENTER DR, LA MESA, CA 91942(619) 644-6600(619) 644-6632 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael D. Hughes M.d. NPPES

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

MICHAEL D. HUGHES M.D. (NPI 1831109255) is an individual occupational medicine provider in La Mesa, California, licensed in California (G66337) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831109255
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameMICHAEL D. HUGHESCredential: M.D.
Location Address5525 GROSSMONT CENTER DRLa Mesa, CA 91942-3009
Mailing Address5525 Grossmont Center DrLa Mesa, CA 91942-3009 · (619) 644-6600 · Fax (619) 644-6632
Fax(619) 644-6632
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateJune 19, 2013
NPI 1831109255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License Licensed in CA · G66337
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
5525 GROSSMONT CENTER DR, La Mesa, CA 91942

Other Identifiers 3

Medicare UPINF11554CA
Medicaid00G663370CA
Medicare ID-Type UnspecifiedWG66337BCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael D. Hughes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,632 services19 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,005 services112 patients
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.
204 services122 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
181 services100 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
69 services69 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
47 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

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.

Family Medicine
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Pharmacy (Community/Retail Pharmacy)
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Physical Medicine & Rehabilitation
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Pediatrics
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Pharmacist
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Physician Assistant
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Pediatrics
5525 GROSSMONT CENTER DR
LA MESA, CA 91942
Pediatrics
5525 GROSSMONT CENTER DR
LA MESA, CA 91942

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 1831109255. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Michael Hughes located?

Michael Hughes practices at 5525 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 644-6600.

What is Michael Hughes's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Michael Hughes enrolled in Medicare?

Yes. Michael Hughes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Hughes was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.