Mark Douglas Hughes, MD
Gastroenterology Physician · Sebastian, FL
Mark Douglas Hughes, MD is a gastroenterology physician with a practice address in Sebastian, Florida, and NPI 1700870847, issued on Sep 6, 2005. Check the license (Florida ME113291, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Mark Douglas Hughes
- Credential
- MD
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- ME113291 FL
Self-reported in NPPES; status is on the state search - Practice location
- 12920 US Highway 1 Ste B, Sebastian, FL 32958
- Phone
- (772) 589-0580
- Enumerated
- Sep 6, 2005
- Record last updated
- Aug 9, 2025
- Fax
- (321) 841-7985
- Medicaid ID
- 005799500 FL
- Medicare enrollment
- Enrolled (PECOS I20120626000560); accepts Medicare assignment
- Medical or professional school
- University Of Louisville School Of Medicine, 1990
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 1,513 in Florida → Look up another NPI →
Verify Mark Douglas Hughes in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME113291Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
32% fewer Medicare Part D claims than the average gastroenterology physician in 2024
549 Medicare Part D claims for 244 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims.
Most prescribed
- Omeprazole151 claims
- Pantoprazole Sodium97 claims
- Famotidine51 claims
- Linzess35 claims
- Sod Sulf-Potass Sulf-Mag Sulf33 claims
- Colestipol Hcl18 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): 85.4 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: $574.02
5 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Biotech, Inc. The 13,350 providers of this specialty with any payment received $5,015.95 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
- Orlando Health Medical Group IncSebastian, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark Douglas Hughes among 1,513 gastroenterology physician records in Florida
Mark Douglas Hughes, MD is one of 1,513 gastroenterology physician records with a practice address in Florida. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 83% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 76% of these records are
- Graduated1990 · median 2000 among the 1,156 with a school on file
- Record last updated2025 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in Florida
There are 1,513 gastroenterology physician records in Florida.
All 1,513 in Florida → Every provider in Sebastian → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Stephen Fitzgerald, MDSebastian, FL 329581558344549
- Tania Lopez, D.O.Sebastian, FL 329581124453626
- Michelle Botti, MDVero Beach, FL 329601922538800
- Ashley CanipeVero Beach, FL 329601164680641
- Charles Eberhart, M.D.Vero Beach, FL 329601255367660
- Nicholas Golden, M.D.Vero Beach, FL 329601619978343
- Bruce Grossman, MDVero Beach, FL 329601851359731
- Alec Lui, MDVero Beach, FL 329601871671727
Common questions
What is Mark Douglas Hughes, MD's NPI number?
Mark Douglas Hughes, MD's National Provider Identifier (NPI) is 1700870847, issued on Sep 6, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Mark Douglas Hughes, MD located?
The NPPES record lists a practice address at 12920 US Highway 1 Ste B, Sebastian, FL, 32958. Phone: (772) 589-0580. Providers update this record themselves, so call before visiting.
How can I verify Mark Douglas Hughes, MD's license?
NPPES lists Florida license number ME113291, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Mark Douglas Hughes, MD prescribe under Medicare Part D?
In 2024, Mark Douglas Hughes, MD had 549 Medicare Part D claims for 244 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Mark Douglas Hughes, MD's MIPS final score?
The 2023 MIPS final score is 85.4 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.