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TERRENCE P HUGHES D.O.
NPI 1891752903
Family Medicine in Hartford, WI

Active since May 01, 2006PECOS Enrolled
110 LONE OAK LN, HARTFORD, WI 53027(262) 670-1800(262) 836-1601 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2019, Jan 17, 2019 (2 updates tracked since 2019).

About Terrence P Hughes D.o. NPPES

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

TERRENCE P HUGHES D.O. (NPI 1891752903) is an individual family medicine provider in Hartford, Wisconsin, licensed in Wisconsin (23448) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in West Bend.

NPPES Registry Identity

NPI1891752903
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTERRENCE P HUGHESCredential: D.O.
Location Address110 LONE OAK LNHartford, WI 53027-2600
Mailing Address110 Lone Oak LnHartford, WI 53027-2600 · (262) 670-1800 · Fax (262) 836-1601
Phone(262) 670-1800
Fax(262) 836-1601
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateFebruary 7, 20192 updates tracked since enumeration
✔ NPI 1891752903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 23448
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
110 LONE OAK LN, Hartford, WI 53027
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Secondary Practice Location 1

Location 11700 W Paradise DrWest Bend, WI 53095-9795 · Phone (262) 334-3451 · Fax (262) 365-6081

Other Identifiers 1

Medicaid30015500WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terrence P Hughes D.o. 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 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.
359 services165 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.
217 services38 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
111 services111 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.
65 services27 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
56 services56 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
55 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53027 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims32 services$4.95 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$208.50 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 19

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

AMBER HILDEBRANDT M.D.
Family Medicine
110 LONE OAK LN
HARTFORD, WI 53027
Washington County (262) 670-1800
GRETCHEN RAKOWSKI PT
Physical Therapist
110 LONE OAK LN
HARTFORD, WI 53027
Washington County (262) 836-6390
ANITA STAI APNP, FNP-BC
Nurse Practitioner (Family)
110 LONE OAK LN
HARTFORD, WI 53027
Washington County (262) 670-1800
CARTER A AUNE M.D.
Family Medicine
110 LONE OAK LN
HARTFORD, WI 53027
Washington County (262) 670-1800
MARIE KUJAWA
Physical Therapist (Sports)
110 LONE OAK LN, HARTFORD HEALTH CENTER
HARTFORD, WI 53027
Washington County (262) 670-1800
JOSHUA KOVACEVICH
Specialist/Technologist (Athletic Trainer)
110 LONE OAK LN
HARTFORD, WI 53027
Washington County (262) 670-1800
DR. EDWARD COONEY M.D.
Internal Medicine
110 LONE OAK LN
HARTFORD, WI 53027
Washington County (262) 670-1800
ELIZABETH BALDWIN NP-C
Nurse Practitioner (Family)
110 LONE OAK LN
HARTFORD, WI 53027
Washington County (262) 334-3451

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 Terrence Hughes's NPI number?

The NPI number for Terrence Hughes is 1891752903. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Terrence Hughes located?

Terrence Hughes practices at 110 Lone Oak Ln, Hartford, WI 53027. The listed phone number is (262) 670-1800.

What is Terrence Hughes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Terrence Hughes enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Terrence Hughes was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.