Gordon M. Hughes, MD
Rheumatology Physician · Elkhart, IN
Gordon M. Hughes, MD is a rheumatology physician with a practice address in Elkhart, Indiana, and NPI 1003895681, issued on Jan 12, 2006. Check the license (Indiana 01035437A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Gordon M. Hughes
- Credential
- MD
- Primary taxonomy
- Rheumatology Physician 207RR0500X
- License number
- 01035437A IN
Self-reported in NPPES; status is on the state search - Practice location
- 303 S Nappanee St, Elkhart, IN 46514
- Phone
- (574) 296-3200
- Enumerated
- Jan 12, 2006
- Record last updated
- Jan 3, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicaid ID
- 100107080 IN
- Medicare enrollment
- Enrolled (PECOS I20100614000356); accepts Medicare assignment
- Medical or professional school
- Indiana University School Of Medicine, 1985
- Entity
- Type 1 · individual
8 nearest rheumatology physician records → All 127 in Indiana → Look up another NPI →
Also registered at 303 S Nappanee St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Matthew Abrell, DPMPodiatrist1164917167
- Pavan Ahuja, M.D.Internal Medicine Physician1578566675
- William Buckley, M.D.Internal Medicine Physician1922001098
- Timothy Davis, M.D.Family Medicine Physician1356344204
- Matthew DeereSurgery Physician1952797771
- Minnie Enriquez, M.D.Internal Medicine Physician1225031164
Verify Gordon M. Hughes in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01035437ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.7 times the Medicare Part D claims of the average rheumatology physician in 2024
5,279 Medicare Part D claims for 886 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. 648 claims were for opioids.
Most prescribed
- Methotrexate938 claims
- Prednisone518 claims
- Hydroxychloroquine Sulfate476 claims
- Tramadol Hcl328 claims
- Gabapentin308 claims
- Hydrocodone-Acetaminophen305 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 84.2 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $879.01
43 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Privia Medical Group Indiana LLCElkhart, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Gordon M. Hughes among 127 rheumatology physician records in Indiana
Gordon M. Hughes, MD is one of 127 rheumatology physician records with a practice address in Indiana. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.
- NPI issued2006 · 15% of these records are older, 48% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated1985 · median 2001 among the 87 with a school on file
- Record last updated2019 · 43% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Rheumatology Physician providers in Indiana
There are 127 rheumatology physician records in Indiana.
All 127 in Indiana → Every provider in Elkhart → Rheumatology Physician nationwide →
The 8 rheumatology physician records with the nearest ZIP codes
- Bruce Lockwitz, M.D.Elkhart, IN 465141043213689
- Shumaila IqbalGoshen, IN 465261841712999
- Natali Balog, MDGranger, IN 465301578552386
- Mary Ann Domingo, M.D.Granger, IN 465301053396127
- Iryna Kulyk, MDGranger, IN 465301487062741
- Nicholas Straniero, M.D.Granger, IN 465301083698591
- Alan Birnbaum, MDSouth Bend, IN 466011124057419
- Natalie Sessions, D.O.South Bend, IN 466141992997175
Common questions
What is Gordon M. Hughes, MD's NPI number?
Gordon M. Hughes, MD's National Provider Identifier (NPI) is 1003895681, issued on Jan 12, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gordon M. Hughes, MD located?
The NPPES record lists a practice address at 303 S Nappanee St, Elkhart, IN, 46514. Phone: (574) 296-3200. Providers update this record themselves, so call before visiting.
How can I verify Gordon M. Hughes, MD's license?
NPPES lists Indiana license number 01035437A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Gordon M. Hughes, MD prescribe under Medicare Part D?
In 2024, Gordon M. Hughes, MD had 5,279 Medicare Part D claims for 886 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.
What is Gordon M. Hughes, MD's MIPS final score?
The 2023 MIPS final score is 84.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.