DIANE HUGHES M.D.
NPI 1649273806
Obstetrics & Gynecology in Humble, TX

NPI Status: Active since May 23, 2005

Contact Information

18955 N MEMORIAL DR
SUITE 300
HUMBLE, TX
ZIP 77338
Phone: (281) 446-0231
Fax: (281) 446-2588

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  • Individual
  • Female
  • Years of Experience 29
  • Obstetrics & Gynecology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About DIANE HUGHES

This page provides the complete NPI Profile along with additional information for Diane Hughes, a women's health care provider established in Humble, Texas with a medical specialization in Obstetrics & Gynecology and more than 29 years of experience. She graduated from University Of Tennessee, Hsc, College Of Medicine in 1997. The healthcare provider is registered in the NPI registry with number 1649273806 assigned on May 2005. The practitioner's primary taxonomy code is 207V00000X with license number K5561 (TX). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1649273806
Provider Name
DIANE HUGHES M.D.
Gender
Female
Entity Type
Individual
Location Address
18955 N MEMORIAL DR SUITE 300 HUMBLE, TX 77338
Location Phone
(281) 446-0231
Location Fax
(281) 446-2588
Mailing Address
18955 N MEMORIAL DR SUITE 300 HUMBLE, TX 77338
Mailing Phone
(281) 446-0231
Mailing Fax
(281) 446-2588
Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year
1997
Is Sole Proprietor?
Yes
Enumeration Date
05-23-2005
Last Update Date
04-21-2011
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Women's health care providers like Diane Hughes treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
K5561
License State
TX
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Select Bronze 016 (No deductible for PCP & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Select Gold 022 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Select Silver 019 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H36455MEDICARE UPIN (02)TX 
8F22057MEDICARE PIN (08)TX 

Medicare Participation & PECOS Enrollment Status

Diane Hughes is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Diane Hughes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 446255368

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060928000313

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 18 times for 18 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 62 times for 33 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 12 times for 11 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

This service was performed 13 times for 13 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $33.51 for a new patient copayment and $18.15 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 77338 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.06
  • Minimum New Patient Price $58.24
  • Maximum New Patient Price $176.98
  • Average New Patient Copayment $33.51
  • Minimum New Patient Copayment $14.56
  • Maximum New Patient Copayment $44.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.62
  • Minimum Established Patient Price $18.6
  • Maximum Established Patient Price $143.93
  • Average Established Patient Copayment $18.15
  • Minimum Established Patient Copayment $4.65
  • Maximum Established Patient Copayment $35.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 97% 31
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Screening for Osteoporosis for Women Aged 65-85 Years of Age 100% 23
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 95% 21
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Diane Hughes is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MEMORIAL HERMANN NORTHEAST HOSPITAL18951 MEMORIAL NORTH
HUMBLE, TX 77338
(281) 540-7700Acute Care Hospitals

Reviews for DIANE HUGHES M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649273806
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
268947680
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 4 + 7 + 6 + 8 + 0 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1649273806 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366406050DR. HEINRICH GUSTAV SCHETTLER M.D.
Individual
Obstetrics & Gynecology18955 N MEMORIAL DR SUITE 350
HUMBLE, TX 77338
(281) 446-4644
1033126495DR. PARENDRA P BANKER M.D.
Individual
Internal Medicine (Gastroenterology)18955 N MEMORIAL DR SUITE#470
HUMBLE, TX 77338
(281) 446-9000
1477608701DR. LORIN F. BUSSELBERG M.D.
Individual
Specialist18955 N MEMORIAL DR STE 490
HUMBLE, TX 77338
(713) 589-4863
1447448576NORTHEAST OB GYN ASSOCIATES LLP
Organization
Obstetrics & Gynecology (Obstetrics)18955 N MEMORIAL DR STE 350
HUMBLE, TX 77338
(281) 319-4111
1609037894MISS NELLIE RUTH KAY - DELAROSA R.N.
Individual
Registered Nurse18955 N MEMORIAL DR SUITE 300
HUMBLE, TX 77338
(281) 540-8779
1770738213MASSOUD BINA
Organization
Specialist18955 N MEMORIAL DR SUITE 400
HUMBLE, TX 77338
(281) 446-1790
1124254750DIANE HUGHES, M.D., P.A.
Organization
Obstetrics & Gynecology18955 N MEMORIAL DR SUITE 300
HUMBLE, TX 77338
(281) 446-0231
1275847261HEINRICH G SCHETTLER MD PA
Organization
Obstetrics & Gynecology18955 N MEMORIAL DR SUITE 350
HUMBLE, TX 77338
(281) 446-4644
1073821054PARENDRA P BANKER MD PA
Organization
Internal Medicine (Gastroenterology)18955 N MEMORIAL DR SUITE NUMBER 470
HUMBLE, TX 77338
(281) 446-9000
1376826073PHILMORE J. JOSEPH, M.D., P.A.
Organization
Orthopaedic Surgery18955 N MEMORIAL DR SUITE 250
HUMBLE, TX 77338
(281) 446-7120
1689959512BNN ANESTHESIA PLLC
Organization
Anesthesiology18955 N MEMORIAL DR SUITE 470
HUMBLE, TX 77338
(281) 446-9000
1407128655JOSE M. ORTEGA, M.D., FACS, P.A.
Organization
Surgery18955 N MEMORIAL DR STE. 480
HUMBLE, TX 77338
(281) 319-5319
1538481031JONATHAN REDMON MD PA
Organization
Surgery18955 N MEMORIAL DR SUITE 330
HUMBLE, TX 77338
(832) 644-1804
1396747630DR. MALCOLM H BREMER M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)18955 N MEMORIAL DR STE 550
HUMBLE, TX 77338
(281) 446-6464
1194968727 JESSICA ELIZABETH BATSON P.A.
Individual
Physician Assistant (Medical)18955 N MEMORIAL DR #350
HUMBLE, TX 77338
(281) 319-4111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649273806, enumerated in the NPI registry as an "individual" on May 23, 2005

The provider is located at 18955 N Memorial Dr Suite 300 Humble, Tx 77338 and the phone number is (281) 446-0231

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X

The provider has more than 29 years of experience. She graduated from University Of Tennessee, Hsc, College Of Medicine in 1997.

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $134.06 with an average copayment of $33.51 for new patient appointments. Established patients should expect a typical charge of $72.62 and an average copayment of 18.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Cervical or vaginal cancer screening; pelvic and clinical breast examination, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes and Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory.

The practitioner is affiliated to the following hospital(s): MEMORIAL HERMANN NORTHEAST HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 23, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.