Active NPI 1083696207 Individual Practitioner Male Practitioner

Dr. Leon D Hughes , MD

Internal Medicine • Lancaster, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Leon Hughes, MD is a certified Internal Medicine practicing in Lancaster, OH. With approximately 46 years of clinical experience since graduating from University Of South Florida College Of Medicine in 1980, Dr. Hughes delivers high-quality medical care to the local community at 401 N EWING ST.

Dr. Hughes is affiliated with Fairfield Healthcare Professionals Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, critical care, first, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

401 N Ewing St

Lancaster, OH 431303372

Telephone 7406878000

Fax 7406878939

Associated Practice Facility / Clinic

🏢 Fairfield Anesthesia Associates Inc Facility NPI 1205836871

Medicare Profile & Education

Medical School

University Of South Florida College Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lancaster, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +27.7 yrs vs City Avg

City Avg: 18.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

38 Specialists

Practicing in Lancaster, OH (5516 Statewide)

Telehealth Adoption Rate

10.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hughes (46 Years) 46 Yrs

Lancaster Specialty Average (18.3 Years) 18.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	132	$305.00	$163.84
99291 Critical care, first 30-74 minutes	24	22	$335.00	$202.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$210.00	$123.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	115	$305.00	$166.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	82	$210.00	$127.18
99291 Critical care, first 30-74 minutes	35	33	$335.00	$209.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99	95	$305.00	$193.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	77	74	$210.00	$131.52
99220 Hospital observation care, typically 70 minutes	51	50	$280.00	$172.85
99219 Hospital observation care, typically 50 minutes	43	43	$205.00	$130.59
99291 Critical care, first 30-74 minutes	30	29	$335.00	$217.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	91	87	$305.00	$198.81
99219 Hospital observation care, typically 50 minutes	65	63	$205.00	$128.76
99220 Hospital observation care, typically 70 minutes	57	56	$280.00	$180.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	51	$210.00	$135.09
99291 Critical care, first 30-74 minutes	39	35	$335.00	$220.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	203	194	$304.97	$198.06
99220 Hospital observation care, typically 70 minutes	78	78	$280.56	$183.27
99291 Critical care, first 30-74 minutes	26	25	$335.00	$221.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	281	262	$301.81	$197.60
99220 Hospital observation care, typically 70 minutes	206	199	$277.19	$180.57
99291 Critical care, first 30-74 minutes	59	58	$353.88	$218.68
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	20	20	$314.10	$212.57
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	11	11	$217.36	$142.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	223	212	$300.78	$197.67
99220 Hospital observation care, typically 70 minutes	186	174	$276.67	$180.66
99291 Critical care, first 30-74 minutes	30	30	$404.00	$219.06
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	13	13	$320.31	$214.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	677	232	$143.00	$69.04
99220 Hospital observation care, typically 70 minutes	183	172	$289.79	$180.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	137	131	$318.46	$195.85
99239 Hospital discharge day management, more than 30 minutes	106	102	$213.00	$102.34
99238 Hospital discharge day management, 30 minutes or less	68	67	$143.00	$69.04
99217 Hospital observation care on day of discharge	38	38	$142.08	$69.43
99225 Subsequent observation care, typically 25 minutes per day	37	29	$143.00	$69.76
99291 Critical care, first 30-74 minutes	22	22	$416.45	$217.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$196.14	$100.08

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35047892

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0603485 (OH)

Commercial Insurance / Payer ID Ohio State License

35047892 (OH)

Hospital & Practice Group Affiliations

Fairfield Healthcare Professionals Inc

401 N Ewing St, Lancaster, OH 431303372

Phone: 7406896680

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Susan Marque , MS, RD, LD

Dietitian, Registered

NPI 1033180864

Master of Science, Registered Dietitian, Licensed Dietitian

Jennifer Hellmich , RD, LD

Dietitian, Registered

NPI 1043281884

Registered Dietitian, Licensed Dietitian

Michelle Decoste

Emergency Medicine

NPI 1083609978

Sherry Parmenter , RD, LD

Dietitian, Registered

NPI 1083685978

Registered Dietitian, Licensed Dietitian

Steven Nguy

Student in an Organized Health Care Education/Training Program

NPI 1104672286

Dr. Jean Robertson , MD, FAAP

Pediatrics

NPI 1174524763

Doctor of Medicine (M.D.), FAAP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 26, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 26, 2009

Registered at 401 N EWING ST, LANCASTER, OH 431303372 (Tel: 7406878000)

📍

Updated Business Mailing Address February 26, 2009

Registered at PO BOX 603, LANCASTER, OH 431300603 (Tel: 7406878990)

👤

Provider Name / Credentials Updated February 26, 2009

Recorded as LEON HUGHES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2009

Internal Medicine (License #35047892 in OH)

🟢

Initial NPI Registration & Enumeration November 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083696207

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 15, 2005

Last Update: February 26, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 603

Lancaster, OH 431300603

Phone: 7406878990

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.