2026 NPPES data Internal Medicine Physician NPI 1053806489 MD
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Kristen Hughes, MD

Internal Medicine Physician in Huron, South Dakota. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 172,858 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.

Federal data — no proprietary rating. We show these CMS records as-is — no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 230 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$45.12
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Kristen Hughes, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,109 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
1K
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Kristen Hughes, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Kristen Hughes, MD sits

This provider among internal medicine physician peers

Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kristen Hughes, MD writes more Part D claims than 57% of them and scores higher on MIPS quality than 93% — placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 78Kristen Hughes, MD — Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 93
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Kristen Hughes, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Kristen Hughes, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Kristen Hughes, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/27/2018

NPI 1053806489

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,109 59% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

100/100 16.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in South Dakota

How Internal Medicine Physician compares to other specialties among South Dakota providers

South Dakota providers

Largest specialties in South Dakota (% of in-state providers)

Physical Therapist — 5.6%Physical Therapist5.6%Pharmacist — 5.5%Pharmacist5.5%Registered Nurse — 4.8%Registered Nurse4.8%Family Nurse Practitioner — 4.7%Family Nurse Practitioner4.7%Mental Health Counselor — 4%Mental Health Counselor4%Physician Assistant — 3.7%Physician Assistant3.7%Internal Medicine Physician — 1.9%Internal Medicine Physician1.9%
Largest specialties in South Dakota (% of in-state providers)

Medicare quality performance — MIPS

Kristen Hughes, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Internal Medicine Physician) — 100/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Kristen Hughes, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 172 4TH ST SE, Huron, SD, 57350, with a listed phone of (605) 353-6200. NPI 1053806489 was issued on 06/27/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Hughes most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,109 prescription claims written by this provider, covering 230 Medicare beneficiaries and totaling roughly $79K in drug spend, with an opioid prescribing rate of 1.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

172 4TH ST SE
Huron, SD 57350

Provider Details

NPI 1053806489
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 06/27/2018

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Kristen Hughes, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Huron Regional Medical Center Inc
Huron, SD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Kristen Hughes, MD. Source: openpaymentsdata.cms.gov.

Total received

$45

Largest payer

Phathom Pharmaceuticals, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,109
Total Claims
$79K
Total Drug Cost
230
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,807
Total Day Supply
50,173
Generic Drug Cost
$18K
Opioid Claims
16 (1.4% rate)
Antibiotic Claims
71

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.36
Gender Split
62% female / 38% male
Age Distribution
<65: 28, 65-74: 78, 75-84: 80, 85+: 44

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Kristen Hughes, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Omeprazole
69
Levothyroxine Sodium
57
Atorvastatin Calcium
55
Amlodipine Besylate
44
Potassium Chloride
31
Lisinopril
30
Metformin Hcl
30
Losartan Potassium
29
Rosuvastatin Calcium
29
Simvastatin
29

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How Kristen Hughes, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Kristen Hughes, MD's 1,109 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as Hughes.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the South Dakota medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Kristen Hughes, MD's specialty?
Kristen Hughes, MD specializes in Internal Medicine Physician and practices in Huron, South Dakota. Credentials: MD.
How much does Kristen Hughes, MD prescribe under Medicare Part D?
In 2023, Kristen Hughes, MD wrote 1,109 Medicare Part D claims totaling $79K in drug costs for 230 beneficiaries.
What is Kristen Hughes, MD's Medicare quality score?
Kristen Hughes, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kristen Hughes, MD located?
Kristen Hughes, MD is located at 172 4TH ST SE, Huron, SD, 57350. Phone: (605) 353-6200.
What is Kristen Hughes, MD's NPI number?
Kristen Hughes, MD's National Provider Identifier (NPI) is 1053806489, issued on 06/27/2018.
Does Kristen Hughes, MD prescribe opioids?
Yes, Kristen Hughes, MD had 16 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Kristen Hughes, MD prescribe most often?
Based on 2023 Medicare Part D data, Kristen Hughes, MD's most frequently prescribed drugs include Omeprazole, Levothyroxine Sodium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kristen Hughes, MD accept Medicare?
Kristen Hughes, MD appears in CMS Medicare data with 1,109 Part D claims and 230 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kristen Hughes, MD's credentials?
Kristen Hughes, MD's NPI is 1053806489 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.