Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497731442 Individual Practitioner Male Practitioner

Dr. Michael L Hughes , MD

General Practice • York, SC

Professional Overview & Biography Verified Profile Summary

Dr. Michael Hughes, MD is a registered healthcare professional specializing in General Practice in York, SC. Practice services are available at 1736 OLD YORK RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient assisted living visit, advance care planning, first, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1736 Old York Rd

York, SC 297459458

Telephone 8038186955
Fax 8038186993
Associated Practice Facility / Clinic
🏢 Upcountry Primary Care Facility NPI 1952252330

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in York, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
1 Specialists

Practicing in York, SC (173 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes
375 180 $137.66 $87.00
99336 Established patient assisted living visit, typically 40 minutes
360 141 $194.91 $124.62
99497 Advance care planning, first 30 minutes
96 87 $107.00 $77.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
60 58 $76.49 $48.71
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour
46 46 $269.43 $172.20
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
45 33 $125.49 $96.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp
40 33 $75.14 $37.70
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
31 25 $185.49 $119.19
99495 Transitional care management services for problem of at least moderate complexity
28 26 $234.95 $148.98
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
27 27 $66.00 $57.69
99496 Transitional care management services for problem of high complexity
11 11 $330.32 $211.90

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License SC 23667

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Surgery - Hospice and Palliative Medicine

NUCC Taxonomy Code: 2086H0002X

State License SC 23667

A surgeon with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
236676 (SC)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Rachel Bond , APRN

Nurse Practitioner - Gerontology

NPI 1215562533

Advanced Practice Registered Nurse

Meredith Sutton , AGACNP

Nurse Practitioner - Acute Care

NPI 1427699297

Adult-Gerontology Acute Care Nurse Practitioner

Dr. Romin Shah , MD

Internal Medicine

NPI 1851417729

Doctor of Medicine (M.D.)

Tara Bennett , FNP

Nurse Practitioner - Family

NPI 1992137368

Family Nurse Practitioner

Career & Practice History Timeline

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

13 Historical Events
NPI Profile Active January 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2018

Registered at 1736 OLD YORK RD, YORK, SC 297459458 (Tel: 8038186955)

📍
Updated Business Mailing Address January 20, 2018

Registered at 102 REEDY ST, CHESTER, SC 297061836 (Tel: 8033746409)

👤
Provider Name / Credentials Updated January 20, 2018

Recorded as MICHAEL HUGHES, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2018

Surgery (License #23667 in SC)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2018

General Practice (License #23667 in SC)

📍
Updated Business Mailing Address July 28, 2017

Registered at 1 MEDICAL PARK DR BLDG 4 SUITE A, CHESTER, SC 297069769 (Tel: 8035812001)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 107 OMNI DR, SUITE B, SENECA, SC 296729448 (Tel: 8648880909)

📍
Updated Business Mailing Address July 08, 2007

Registered at 107 OMNI DR, SUITE B, SENECA, SC 296729448 (Tel: 8648880909)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL HUGHES, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #23667 in SC)

🟢
Initial NPI Registration & Enumeration December 21, 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: 1497731442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2005
Last Update: January 20, 2018
Sole Proprietor: No

Mailing Address

102 Reedy St

Chester, SC 297061836

Phone: 8033746409

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.