DR. RANDAL K HUGHES MD
NPI 1982690566
Ophthalmology in Fort Wayne, IN

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
7747 W JEFFERSON BLVD, SUITE A, FORT WAYNE, IN 46804(260) 459-8444(260) 459-8443 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randal K Hughes Md NPPES

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

DR. RANDAL K HUGHES MD (NPI 1982690566) is an individual ophthalmology provider in Fort Wayne, Indiana, licensed in Indiana (01039469) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1990).

NPPES Registry Identity

NPI1982690566
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RANDAL K HUGHESCredential: MD
Location Address7747 W JEFFERSON BLVD, SUITE AFort Wayne, IN 46804
Mailing AddressPo Box 549Wabash, IN 46992-0549 · (260) 569-9550 · Fax (260) 569-0760
Fax(260) 459-8443
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1990
Enumeration DateSeptember 20, 2005
Last NPPES UpdateAugust 15, 2018
NPI 1982690566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in IN · 01039469 Licensed in KY · 30120 Licensed in IL · 036093071
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
7747 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Identifiers 5

Other5984162Aetna
Medicaid200094570IN
Other289993Healthlink
Medicaid64301203KY
Other000000108303Anthem

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

Dr. Randal K Hughes Md 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 ID2062538879
PECOS Enrollment IDI20100929001400
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.

Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
938 services576 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
283 services185 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
277 services164 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
158 services96 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.
48 services48 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
39 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Ambulatory Surgical)
7747 W JEFFERSON BLVD, SUITE B
FORT WAYNE, IN 46804
Ophthalmology (Retina Specialist)
7747 W JEFFERSON BLVD, SUITE A
FORT WAYNE, IN 46804
Optometrist
7747 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Optometrist
7747 W JEFFERSON BLVD, SUITE A
FORT WAYNE, IN 46804
Ophthalmology (Retina Specialist)
7747 W JEFFERSON BLVD, SUITE A
FORT WAYNE, IN 46804
Optometrist
7747 W JEFFERSON BLVD, SUITE A
FORT WAYNE, IN 46804
Optometrist
7747 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Ophthalmology
7747 W JEFFERSON BLVD, SUITE A
FORT WAYNE, IN 46804

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 Randal Hughes's NPI number?

The NPI number for Randal Hughes is 1982690566. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Randal Hughes located?

Randal Hughes practices at 7747 W Jefferson Blvd Suite A, Fort Wayne, IN 46804. The listed phone number is (260) 459-8444.

What is Randal Hughes's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Randal Hughes enrolled in Medicare?

Yes. Randal 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 Randal Hughes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Randal 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 Randal Hughes was last updated on August 15, 2018. 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.