BRETT WILLIAM HUGHES MD
NPI 1831630243
Internal Medicine - Gastroenterology in Newport Beach, CA

Q: What is Brett Hughes's NPI number?

The NPI number for Brett Hughes is 1831630243. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Q: What is Brett Hughes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Brett Hughes was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 March 17, 2017PECOS Enrolled

1441 AVOCADO AVE STE 807, NEWPORT BEACH, CA 92660(949) 650-5155 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 15, 2024, Mar 17, 2017 (2 updates tracked since 2017).

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About Brett William Hughes Md NPPES

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

BRETT WILLIAM HUGHES MD (NPI 1831630243) is an individual gastroenterology provider in Newport Beach, California, licensed in California (A200982) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fountain Valley, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1831630243

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameBRETT WILLIAM HUGHESCredential: MD

Location Address1441 AVOCADO AVE STE 807Newport Beach, CA 92660-7709

Mailing Address1441 Avocado Ave Ste 807Newport Beach, CA 92660-7709 · (949) 650-5155 · Fax (949) 644-2001

Phone(949) 650-5155

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 17, 2017

Last NPPES UpdateOctober 17, 20252 updates tracked since enumeration

NPPES CertifiedOctober 17, 2025

✔ NPI 1831630243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · A200982

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License A200982 (CA)

1441 AVOCADO AVE STE 807, Newport Beach, CA 92660

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Secondary Practice Location 1

Location 111100 Warner Ave Ste 360Fountain Valley, CA 92708-7513 · Phone (714) 429-5800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brett William Hughes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385001056

PECOS Enrollment IDI20260108000825

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

Medicare enrollment records show Brett Hughes reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surinder Saini MD Inc

0.3 mi

Gastroenterology

1441 AVOCADO AVE, SUITE 807
Newport Beach, CA 92660

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1104197706 (949) 650-5155

Arizona Digestive Health, PC

344 mi

Gastroenterology

3260 N HAYDEN RD STE 112
Scottsdale, AZ 85251

Reassigned Medicare billing, Arizona enrollment
143 clinicians in this Medicare group

NPI 1992981583 (602) 264-9100

Barton Healthcare System

378 mi

Emergency Medicine

1111 SIERRA AT TAHOE RD
Twin Bridges, CA 95735

Reassigned Medicare billing, California enrollment
126 clinicians in this Medicare group

NPI 1114033529 (530) 659-7434

Barton Medical Foundation

384 mi

Family Medicine

2170 SOUTH AVE
South Lake Tahoe, CA 96150

Reassigned Medicare billing, California enrollment
148 clinicians in this Medicare group

NPI 1750950499 (530) 541-3420

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 10

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.

142 services100 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

122 services120 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.

115 services115 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

91 services75 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

72 services71 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.

64 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRETT HUGHES M.D., A PROFESSIONAL CORPORATION

Internal Medicine (Gastroenterology)

1441 AVOCADO AVE STE 807
NEWPORT BEACH, CA 92660

Orange County (949) 650-5155

MRS. MICHELLE ASZTERBAUM MD

Dermatology

1441 AVOCADO AVE STE 807
NEWPORT BEACH, CA 92660

Orange County (949) 525-0700

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 Brett Hughes's NPI number?

The NPI number for Brett Hughes is 1831630243. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Where is Brett Hughes located?

Brett Hughes practices at 1441 Avocado Ave Ste 807, Newport Beach, CA 92660. The listed phone number is (949) 650-5155.

What is Brett Hughes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brett Hughes enrolled in Medicare?

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

Which organizations bill Medicare for Brett Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brett Hughes reassigns Medicare benefits to 4 organizations: Surinder Saini MD Inc (Newport Beach, CA), Arizona Digestive Health, PC (Scottsdale, AZ), Barton Healthcare System (Twin Bridges, CA) and Barton Medical Foundation (South Lake Tahoe, CA). 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 Brett Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brett Hughes accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Brett 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 Brett Hughes was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.