Doctor profile · Federal record
Dr. Mark Hughes, MD
Gastroenterology Physician (CMS: Gastroenterology) · Sebastian, FL
- NPI 1700870847
- Accepts Medicare
- MIPS 84.2 / 100 · 2023
- 36 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
12920 US Highway 1 Ste B
Sebastian, FL 329583772
(772) 589-0580
fax (321) 841-7985 - Additional location
-
1846 Highway 1
Rockledge, FL 329552822
(321) 434-9560
fax (321) 434-7078
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- August 9, 2025
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Florida #ME113291
- Medicaid
- FL #005799500
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700870847. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
852
Distinct HCPCS
10
Medicare allowed
$106,307
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
45380 |
Biopsy of large bowel using a flexible endoscope | 173 | 172 | $115 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 153 | 147 | $78 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 133 | 110 | $88 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 123 | 119 | $249 | |
43249 |
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 32 | 28 | $112 | |
45381 |
Injection beneath lining of large bowel using a flexible endoscope | 30 | 30 | $15 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $111 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 27 | 19 | $50 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 26 | 26 | $177 | |
43270 |
Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 24 | 13 | $217 |
In context: peer comparison
Among 1 peers in Sebastian Gastroenterology Physician, average services per provider: 53. This provider delivers 16× the peer median.Open Payments
Industry payments received
All-time total
$574
Transactions
5
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Biotech, INC. | 2 | $279.01 | |
| Ipsen Biopharmaceuticals, INC | 1 | $125.00 | |
| Pfizer INC. | 1 | $89.44 | |
| Abbvie INC. | 1 | $80.57 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
486
Patients
183
Total drug cost
$73,872
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 159 | 67 | $2,569 |
| Pantoprazole Sodium | Generic | 113 | 47 | $2,024 |
| Famotidine | Generic | 86 | 35 | $1,291 |
| Linzess (Linaclotide) | Brand | 31 | 0 | $29,084 |
| Cholestyramine Light (Cholestyramine/Aspartame) | Brand | 19 | 0 | $1,702 |
| Ondansetron Hcl | Generic | 19 | 0 | $239 |
| Sutab (Sod Sulf/Pot Chloride/Mag Sulf) | Brand | 18 | 18 | $3,027 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,Mag Sulfates) | Brand | 16 | 16 | $1,316 |
| Sucralfate | Generic | 13 | 0 | $710 |
| Creon (Lipase/Protease/Amylase) | Brand | 12 | 0 | $31,909 |
Hospital affiliations
Frequently asked questions
What is Dr. Mark Hughes's medical specialty?
Dr. Mark Hughes practices Gastroenterology Physician in Sebastian, FL.
Where does Dr. Mark Hughes practice?
Dr. Mark Hughes practices at 12920 US Highway 1 Ste B, Sebastian, FL 329583772. Office phone: 7725890580.
What is Dr. Mark Hughes's NPI?
Dr. Mark Hughes's National Provider Identifier (NPI) is 1700870847, issued by NPPES.
Does Dr. Mark Hughes accept Medicare assignment?
Yes. Dr. Mark Hughes accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Hughes commonly perform?
Top Medicare-reported procedures in 2023: Biopsy of large bowel using a flexible endoscope (HCPCS 45380); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.