KRISTEN LISA HUGHES (MD) – Hospitalist Physician, NPI 1053806489
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
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Provider Addresses for KRISTEN LISA HUGHES (MD)
2014, Jonathan Circle, Shelby Charter Township, Macomb County, Michigan, 48317, United States
SHELBY TOWNSHIP, MI 483173822
Phone: (248) 802-7145
Type: Mailing
Ascension Providence Rochester Hospital, 1101, West University Drive, Rochester Hills, Oakland County, Michigan, 48307, United States
ROCHESTER HILLS, MI 483071863
Phone: (248) 601-4805
Type: Location
1371 CAMPBELL DR
HURON, SD 573503554
Phone: (248) 802-7145
Type: Mailing
172 4TH ST SE
HURON, SD 573502590
Phone: (605) 353-6200
Fax: (605) 353-6300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($45).
Total Amount
$45
General + Research + Ownership
Payments
1
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $45 |
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: 2021-09-23
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 |
|---|---|---|---|---|
| I20210923000701 | I | Internal Medicine | SD | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 353 | 140 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 152 | 136 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 137 | 121 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 94 | 30 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 31 | 30 | $0 |
Insurance plans in this area (ZIP 48317)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | SD | |
| General Surgery | VT | |
| P A T H O L O G Y | SD | |
| Nurse Practitioner | SD | |
| P A T H O L O G Y | SD | |
| Family Practice | TX | |
| P A T H O L O G Y | SD | |
| P A T H O L O G Y | SD | |
| - | SD | |
| Certified Registered Nurse Anesthetist (Crna) | SD |
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