Active NPI 1811959885 Individual Practitioner Male Practitioner

Dr. Michael Scott Hughes , MD

Internal Medicine • Addison, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Hughes, MD is a certified Internal Medicine practicing in Addison, TX. With approximately 32 years of clinical experience since graduating from Texas A & M University System, Hsc, College Of Medicine in 1994, Dr. Hughes delivers high-quality medical care to the local community at 14131 MIDWAY RD.

Dr. Hughes maintains professional affiliations with Usacs Observation Medicine Services Of Oklahoma, Llc, Emergency Medicine Associates P.A., P.C., Usacs Integrated Acute Care Services Of Texas, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of 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

14131 Midway Rd
Suite 620

Addison, TX 750013623

Telephone 9722490200

Fax 9722490206

Associated Practice Facility / Clinic

🏢 Inpatient Consultants Of Texas, Pllc Facility NPI 1902859820

Medicare Profile & Education

Medical School

Texas A & M University System, Hsc, College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Addison, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +2.4 yrs vs City Avg

City Avg: 29.6 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

21 Specialists

Practicing in Addison, TX (9538 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hughes (32 Years) 32 Yrs

Addison Specialty Average (29.6 Years) 29.6 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	222	107	$561.46	$113.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	195	91	$393.64	$75.36
99239 Hospital discharge day management, more than 30 minutes	70	70	$610.60	$109.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	66	$1076.47	$164.79
99238 Hospital discharge day management, 30 minutes or less	21	21	$407.05	$77.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	381	139	$559.99	$117.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	318	145	$397.78	$78.60
99239 Hospital discharge day management, more than 30 minutes	149	148	$599.49	$113.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	127	125	$1161.88	$171.06
99238 Hospital discharge day management, 30 minutes or less	43	43	$439.42	$79.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$875.67	$128.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	795	250	$512.00	$103.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	120	115	$1296.98	$199.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	68	$389.48	$71.69
99239 Hospital discharge day management, more than 30 minutes	95	92	$561.68	$105.48
99238 Hospital discharge day management, 30 minutes or less	93	91	$450.52	$72.21
99220 Hospital observation care, typically 70 minutes	13	13	$1997.69	$180.71
99217 Hospital observation care on day of discharge	13	13	$757.00	$72.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	319	151	$741.10	$101.12
99239 Hospital discharge day management, more than 30 minutes	101	101	$763.71	$103.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	84	84	$1439.50	$194.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	44	$512.49	$70.43
99291 Critical care, first 30-74 minutes	46	32	$1587.72	$215.00
99497 Advance care planning, first 30 minutes	24	24	$562.59	$76.84
99220 Hospital observation care, typically 70 minutes	19	19	$1318.91	$178.54
99217 Hospital observation care on day of discharge	12	12	$517.52	$68.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	478	200	$741.10	$103.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	256	130	$512.49	$71.96
99239 Hospital discharge day management, more than 30 minutes	129	124	$763.71	$106.61
99291 Critical care, first 30-74 minutes	88	52	$1587.72	$221.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	85	85	$1439.50	$200.02
99220 Hospital observation care, typically 70 minutes	30	30	$1318.91	$184.10
99217 Hospital observation care on day of discharge	20	20	$517.52	$72.07
99497 Advance care planning, first 30 minutes	17	17	$562.59	$79.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	511	268	$741.10	$101.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	343	190	$512.49	$70.60
99239 Hospital discharge day management, more than 30 minutes	220	216	$763.71	$104.07
99217 Hospital observation care on day of discharge	58	57	$517.52	$70.94
99226 Subsequent observation care, typically 35 minutes per day	34	34	$746.13	$101.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$1439.50	$190.84
99220 Hospital observation care, typically 70 minutes	21	21	$1318.91	$180.66
99225 Subsequent observation care, typically 25 minutes per day	19	19	$517.52	$71.09
99497 Advance care planning, first 30 minutes	18	17	$501.27	$77.00
99291 Critical care, first 30-74 minutes	13	12	$1587.72	$216.88

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	611	277	$512.49	$71.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	331	202	$741.10	$104.12
99239 Hospital discharge day management, more than 30 minutes	215	211	$763.71	$106.56
99217 Hospital observation care on day of discharge	62	60	$517.52	$73.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	50	$1439.50	$197.78
99220 Hospital observation care, typically 70 minutes	39	39	$1318.91	$183.69
99225 Subsequent observation care, typically 25 minutes per day	29	27	$517.52	$74.76
99226 Subsequent observation care, typically 35 minutes per day	19	19	$746.13	$107.55
99238 Hospital discharge day management, 30 minutes or less	12	12	$515.00	$73.65

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	684	274	$272.84	$68.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	550	241	$361.23	$99.39
99239 Hospital discharge day management, more than 30 minutes	237	219	$399.64	$101.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	214	203	$729.97	$192.60
99217 Hospital observation care on day of discharge	48	48	$392.39	$69.35
99220 Hospital observation care, typically 70 minutes	41	41	$987.10	$177.32

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX J8592

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

145088403 (TX)

Commercial Insurance / Payer ID Bcbs

8A6849 (TX)

Commercial Insurance / Payer ID Aetna

5175694 (TX)

Hospital & Practice Group Affiliations

Usacs Observation Medicine Services Of Oklahoma, Llc

6161 S Yale Ave, Tulsa, OK 741361902

Usacs Integrated Acute Care Services Of Texas, Pllc

260 Cully Dr, Kerrville, TX 780285950

Phone: 8302587747

Emergency Medicine Associates P.a., P.c.

219 S Washington St, Easton, MD 216012913

Phone: 4108221000

Usacs Integrated Acute Care Services Of Texas, Pllc

3333 Research Plz, San Antonio, TX 782355154

Phone: 2102973650

Emergency Medicine Associates P.a., P.c.

100 Hospital Rd, Prince Frederick, MD 206784017

Phone: 4105358344

Usacs Observation Medicine Services Of Oklahoma, Llc

300 Rockefeller Dr, Muskogee, OK 744015075

Phone: 9186842101

Usacs Integrated Acute Care Services Of Texas, Pllc

111 Dallas St, San Antonio, TX 782051201

Phone: 2102977195

Usacs Observation Medicine Services Of Oklahoma, Llc

12451 E 100th St N, Owasso, OK 740554600

Phone: 9182745000

Usacs Integrated Acute Care Services Of Texas, Pllc

4920 Ne Stallings Dr, Nacogdoches, TX 759651254

Phone: 9365699481

Usacs Observation Medicine Services Of Oklahoma, Llc

1923 S Utica Ave, Tulsa, OK 741046520

Phone: 9187443131

Usacs Integrated Acute Care Services Of Texas, Pllc

7930 Floyd Curl Dr, San Antonio, TX 782293925

Phone: 2102975650

Usacs Observation Medicine Services Of Oklahoma, Llc

3500 E Frank Phillips Blvd, Bartlesville, OK 740062411

Phone: 9183337200

Usacs Integrated Acute Care Services Of Texas, Pllc

8811 Village Dr, San Antonio, TX 782175415

Phone: 2102972650

Practice Associates & Co-Workers

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

31 Associated Practitioners

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Internal Medicine

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Doctor of Medicine (M.D.)

Dr. Henry Dollahite , MD

Family Medicine - Adult Medicine

NPI 1104243468

Doctor of Medicine (M.D.)

Dr. Soumya Yemme , MD

Internal Medicine

NPI 1124232384

Doctor of Medicine (M.D.)

Dr. Jennifer Schutter , MD

Internal Medicine

NPI 1144214594

Doctor of Medicine (M.D.)

Dr. Nida Rasheed , MD

Family Medicine

NPI 1205152964

Doctor of Medicine (M.D.)

Alessandra Demoraes

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205673613

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 22, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 22, 2008

Registered at 14131 MIDWAY RD, SUITE 620, ADDISON, TX 750013623 (Tel: 9722490200)

📍

Updated Business Mailing Address September 22, 2008

Registered at 14131 MIDWAY RD, SUITE 620, ADDISON, TX 750013623 (Tel: 9722490200)

👤

Provider Name / Credentials Updated September 22, 2008

Recorded as MICHAEL HUGHES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2008

Internal Medicine (License #J8592 in TX)

🟢

Initial NPI Registration & Enumeration April 05, 2006

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: 1811959885

Entity Type:

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

Enumeration Date: April 05, 2006

Last Update: September 22, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

14131 Midway Rd, Suite 620

Addison, TX 750013623

Phone: 9722490200

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.