Mark Hughes, MD
NPI 1700870847 · Gastroenterology Physician · Sebastian, FL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Hughes, MD is a Gastroenterology Physician provider in Sebastian, FL (NPI 1700870847).
Provider details
- NPI number
- 1700870847
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME113291 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
845 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 181 | $99 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 162 | $85 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 140 | $247 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 101 | $88 |
| Injection Beneath Lining of Large Bowel Using a Flexible Endoscope45381 | 43 | $15 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 151 | 76 |
| Pantoprazole Sodium | 97 | 42 |
| Famotidine | 51 | 25 |
| Linaclotidebrand: Linzess | 35 | — |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 33 | 32 |
| Colestipol Hcl | 18 | — |
| Sod Sulf/Pot Chloride/Mag Sulfbrand: Sutab | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$574 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1846 Highway 1Rockledge, FL 32955-2822Phone: (321) 434-9560Fax: (321) 434-7078
Registry dates
- Enumerated
- 2005-09-06
- Last updated
- 2025-08-09
- Certified
- 2025-08-09
Frequently asked questions
- What is Mark Hughes's NPI number?
- Mark Hughes's National Provider Identifier (NPI) is 1700870847, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Hughes's specialty?
- Mark Hughes is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Hughes located?
- Mark Hughes's practice location on file with NPPES is 12920 US Highway 1 Ste B, Sebastian, FL 32958-3772.
- What is Mark Hughes's phone number?
- The practice phone number listed in the NPPES registry for Mark Hughes is (772) 589-0580.
- Does Mark Hughes accept Medicare?
- Mark Hughes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Hughes's NPI active?
- Yes — Mark Hughes's NPI (1700870847) is active in the NPPES registry as of the last update on 2025-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.