Active NPI 1013111889 Individual Practitioner Male Practitioner

Dr. Matthew Robert Hughes , MD

Colon & Rectal Surgery • Plano, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Hughes, MD is a certified Colon & Rectal Surgery practicing in Plano, TX. With approximately 19 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2007, Dr. Hughes delivers high-quality medical care to the local community at 6130 W PARKER RD STE 112.

Dr. Hughes is affiliated with Texas Oncology Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic examination of the anus using an endoscope, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6130 W Parker Rd Ste 112

Plano, TX 750937918

Telephone 4692297479

Fax 8666446804

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Plano, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -8.4 yrs vs City Avg

City Avg: 27.4 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Plano, TX (213 Statewide)

Telehealth Adoption Rate

44.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hughes (19 Years) 19 Yrs

Plano Specialty Average (27.4 Years) 27.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	66	50	$250.00	$86.70
46600 Diagnostic examination of the anus using an endoscope	41	35	$241.00	$110.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$372.00	$106.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$368.00	$122.47
45380 Biopsy of large bowel using an endoscope	26	26	$1065.00	$105.00
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1402.00	$239.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$565.00	$160.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	88	59	$250.00	$86.92
46600 Diagnostic examination of the anus using an endoscope	58	45	$241.00	$116.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$372.00	$108.06
45380 Biopsy of large bowel using an endoscope	33	33	$1065.00	$126.33
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$1402.00	$240.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$368.00	$124.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$565.00	$161.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	81	$250.00	$89.05
46600 Diagnostic examination of the anus using an endoscope	90	71	$241.00	$122.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$372.00	$109.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	21	$247.00	$68.54
45380 Biopsy of large bowel using an endoscope	26	26	$1065.00	$106.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$565.00	$164.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$470.00	$133.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$368.00	$126.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1402.00	$235.97
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$1225.00	$167.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	604	317	$80.00	$34.45
99213 Established patient office or other outpatient visit, typically 15 minutes	92	62	$239.92	$91.06
46600 Diagnostic examination of the anus using an endoscope	69	49	$236.58	$121.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$357.47	$110.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	28	$243.84	$71.67
45380 Biopsy of large bowel using an endoscope	26	26	$1065.00	$142.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$459.33	$127.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$656.13	$186.15
88342 Special stained specimen slides to examine tissue, initial procedure	13	11	$180.00	$72.51
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1371.27	$237.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,739	912	$64.05	$32.54
99213 Established patient office or other outpatient visit, typically 15 minutes	106	68	$147.00	$74.56
46600 Diagnostic examination of the anus using an endoscope	60	45	$180.00	$102.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$217.61	$107.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	18	$146.00	$73.75
88304 Pathology examination of tissue using a microscope, moderately low complexity	31	23	$69.03	$30.69
45380 Biopsy of large bowel using an endoscope	25	25	$944.00	$120.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$410.00	$206.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1064.00	$256.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,758	970	$45.00	$30.58
99213 Established patient office or other outpatient visit, typically 15 minutes	137	85	$147.00	$72.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$217.00	$105.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	35	$146.00	$72.65
46600 Diagnostic examination of the anus using an endoscope	63	51	$180.00	$93.71
45380 Biopsy of large bowel using an endoscope	34	34	$944.00	$150.47
88304 Pathology examination of tissue using a microscope, moderately low complexity	28	24	$40.00	$27.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$410.00	$201.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$278.00	$136.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$51.00	$16.25
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	14	11	$15.00	$0.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$334.00	$161.91
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1064.00	$248.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	263	150	$45.15	$29.50
99213 Established patient office or other outpatient visit, typically 15 minutes	115	71	$147.00	$70.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	41	$146.00	$72.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$217.00	$104.98
46600 Diagnostic examination of the anus using an endoscope	46	35	$180.00	$87.54
45380 Biopsy of large bowel using an endoscope	25	24	$944.00	$112.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	23	$278.00	$135.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$410.00	$201.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$334.00	$159.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1064.00	$256.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	74	$147.00	$70.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	43	$146.00	$71.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$217.00	$100.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	20	$79.00	$39.17
46600 Diagnostic examination of the anus using an endoscope	30	27	$180.00	$85.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$278.00	$130.84
45380 Biopsy of large bowel using an endoscope	23	23	$944.00	$136.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$410.00	$198.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1064.00	$254.97

Medical Specialties & State Licenses

CMS Verified: 2021-03-17

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License TX P4065

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

State License FL TRN#11220

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

339068404 (TX)

Medicaid State Provider ID

339068403 (TX)

Hospital & Practice Group Affiliations

Texas Oncology Pa

7110 Preston Rd, Plano, TX 750243412

Phone: 9725260910

Texas Oncology Pa

2026 S Jackson St, Jacksonville, TX 757665822

Phone: 9035862456

Texas Oncology Pa

4201 Brown Trl, Colleyville, TX 760343941

Phone: 6822172102

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 13, 2020

Registered at 6130 W PARKER RD STE 112, PLANO, TX 750937918 (Tel: 4692297479)

✅

NPI Profile Active September 13, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 13, 2013

Registered at 4333 N JOSEY LN, PLAZA II, SUITE 103, CARROLLTON, TX 750104629 (Tel: 9725284623)

📍

Updated Business Mailing Address September 13, 2013

Registered at 1732 BLUFFVIEW LN, CARROLLTON, TX 750071426 (Tel: 9722109952)

👤

Provider Name / Credentials Updated September 13, 2013

Recorded as MATTHEW HUGHES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2013

Surgery (License #TRN#11220 in FL)

🟢

Initial NPI Registration & Enumeration June 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013111889

Entity Type:

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

Enumeration Date: June 13, 2007

Last Update: March 17, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1732 Bluffview Ln

Carrollton, TX 750071426

Phone: 9722109952

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.