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JAMES R HUGHES DDS
NPI 1972581650
Dentist - Oral and Maxillofacial Surgery in Willmar, MN

Active since January 04, 2006Opted out of Medicare · through Jul 1, 2028
1029 19TH AVE SW, WILLMAR, MN 56201(320) 235-1803(320) 235-6097 Get Directions Write a Review

NPPES record last updated: September 27, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About James R Hughes Dds NPPES

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

JAMES R HUGHES DDS (NPI 1972581650) is an individual oral and maxillofacial surgery provider in Willmar, Minnesota, licensed in Minnesota (D10815) and active in the NPI registry since January 2006. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972581650
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJAMES R HUGHESCredential: DDS
Location Address1029 19TH AVE SWWillmar, MN 56201
Mailing Address1029 19th Ave SwWillmar, MN 56201 · (320) 235-1803 · Fax (320) 235-6097
Phone(320) 235-1803
Fax(320) 235-6097
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateSeptember 27, 2007
✔ NPI 1972581650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MN · D10815
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1029 19TH AVE SW, Willmar, MN 56201
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Other Identifiers 1

Medicare UPINH26752

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

James R Hughes Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56201 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

ORAL FACIAL SURGERY PA
Clinic/Center (Oral and Maxillofacial Surgery)
1029 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-1803
ORAL AND MAXILLOFACIAL SURGERY OF MINNESOTA PLLC
Dentist (Oral and Maxillofacial Surgery)
1029 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-1803

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 James Hughes's NPI number?

The NPI number for James Hughes is 1972581650. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is James Hughes located?

James Hughes practices at 1029 19th Ave SW, Willmar, MN 56201. The listed phone number is (320) 235-1803.

What is James Hughes's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is James Hughes enrolled in Medicare?

No. James Hughes has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does James Hughes accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list James 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 James Hughes was last updated on September 27, 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.