GRANT C HUGHES M.D.
NPI 1912128257
Internal Medicine - Rheumatology in Bellingham, WA

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
220 UNITY ST, BELLINGHAM, WA 98225(360) 676-6177 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grant C Hughes M.d. NPPES

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

GRANT C HUGHES M.D. (NPI 1912128257) is an individual rheumatology provider in Bellingham, Washington, licensed in Washington (MD00043465) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Oregon Health Sciences University School Of Medicine (2001).

NPPES Registry Identity

NPI1912128257
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameGRANT C HUGHESCredential: M.D.
Location Address220 UNITY STBellingham, WA 98225-4429
Mailing Address220 Unity StBellingham, WA 98225-4429 · (360) 676-6177
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2001
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1912128257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in WA · MD00043465
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
220 UNITY ST, Bellingham, WA 98225

Other Identifiers 2

Medicaid8433799WA
Medicare ID-Type UnspecifiedAB25835WA

Accepted 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

Grant C 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 ID8224062591
PECOS Enrollment IDI20050926000729
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 3

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.
61 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Harborview Medical Center

Acute Care Hospitals · Seattle, WA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500064
Location325 9th AvenueSeattle, WA 98104 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98225 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Dentist (General Practice)
220 UNITY ST
BELLINGHAM, WA 98225
Counselor (Mental Health)
220 UNITY ST
BELLINGHAM, WA 98225
Physician Assistant
220 UNITY ST
BELLINGHAM, WA 98225
Dietitian, Registered
220 UNITY ST
BELLINGHAM, WA 98225
Family Medicine
220 UNITY ST
BELLINGHAM, WA 98225
Counselor (Mental Health)
220 UNITY ST
BELLINGHAM, WA 98225
Counselor (Mental Health)
220 UNITY ST
BELLINGHAM, WA 98225
Family Medicine
220 UNITY ST
BELLINGHAM, WA 98225

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 Grant Hughes's NPI number?

The NPI number for Grant Hughes is 1912128257. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Grant Hughes located?

Grant Hughes practices at 220 Unity St, Bellingham, WA 98225. The listed phone number is (360) 676-6177.

What is Grant Hughes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Grant Hughes enrolled in Medicare?

Yes. Grant 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 Grant Hughes accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Grant 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 Grant Hughes affiliated with any hospitals?

According to CMS data, Grant Hughes is affiliated with University Of Washington Medical Ctr and Harborview Medical Center.

When was this NPI record last updated?

The NPPES record for Grant Hughes was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.