DR. MARK DOUGLAS HUGHES (MD) – Gastroenterology Physician, NPI 1700870847
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,475 GASTROENTEROLOGY in FL
Provider Addresses for DR. MARK DOUGLAS HUGHES (MD)
1846 Highway 1
Rockledge, FL 329552822
Phone: (321) 434-9560
Fax: (321) 434-7078
Type: Location
12920 US HIGHWAY 1 STE B
SEBASTIAN, FL 329583772
Phone: (772) 589-0580
Fax: (321) 841-7985
Type: Location
Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States
ROCKLEDGE, FL 329554306
Phone: (321) 434-9560
Fax: (321) 951-7408
Type: Mailing
200, North Wickham Road, Fountainhead North, Melbourne, Brevard County, Florida, 32935, United States
MELBOURNE, FL 329402240
Phone: (321) 434-9560
Fax: (321) 434-9269
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,363.
Total Amount is formed as General ($1,363) + Research ($0) + Ownership ($0) = $1,363.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($627).
Total Amount
$1,363
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,363
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $627 |
| Janssen Biotech, Inc. | $279 |
| Ipsen Biopharmaceuticals, Inc | $125 |
| E.R. Squibb & Sons, L.L.C. | $122 |
| GENZYME CORPORATION | $120 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120626000560 | I | Gastroenterology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45380 | Biopsy of large bowel using a flexible endoscope | 173 | 172 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 153 | 147 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 133 | 110 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 123 | 119 | $0 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 32 | 28 | $0 |
Insurance plans in this area (ZIP 32955)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Internal Medicine | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Hand Surgery, Orthopedic Surgery, Sports Medicine | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| - | NY | |
| Infectious Disease | FL | |
| Internal Medicine | PA |
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