2026 NPPES data Internal Medicine Physician NPI 1265426027 M.D.
Verify on CMS →

TY HUGHSTON, M.D.

Internal Medicine Physician in SAN ANGELO, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
8K
Medicare Part D claims · 522 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.75/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$19.33
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TY HUGHSTON, M.D. reported a CMS MIPS final score of 95.75/100 — above the 83.1 national average — and filed 8,008 Medicare Part D claims in 2023.

95.75/100
MIPS score · +13 vs avg
8K
Part D claims, 2023
89%
generic prescribing
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.

TY HUGHSTON, M.D.'s MIPS score vs every scored U.S. clinician

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

96 Top 21% higher than 79% 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

Board certification likely (heuristic — not verified)

TY HUGHSTON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 TY HUGHSTON, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 09/08/2005

NPI 1265426027

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

8,008 195% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

95.75/100 12.650000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Internal Medicine Physician compares to other specialties among Texas providers

Texas providers

Internal Medicine Physician share within Texas

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Texas

Medicare quality performance — MIPS

TY HUGHSTON, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
95.75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 95.75/100 vs national avg 83.1

0%100%National avg83%95.8%
MIPS final score (Internal Medicine Physician) — 95.75/100 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).

TY HUGHSTON, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 120 E BEAUREGARD AVE, SAN ANGELO, TX, 76903, with a listed phone of (325) 658-1511. NPI 1265426027 was issued on 09/08/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HUGHSTON 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 8,008 prescription claims written by this provider, covering 522 Medicare beneficiaries and totaling roughly $615K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 6.1%. 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 95.75/100 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

120 E BEAUREGARD AVE
SAN ANGELO, TX 76903

Provider Details

NPI 1265426027
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 09/08/2005

CMS Quality Score (MIPS)

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

95.75
Final Score
Avg: 83.1
95
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TY HUGHSTON, M.D. 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.

DORA ROBERTS REHABILITATION CENTER
BIG SPRING, TX
THE WEST TEXAS REHABILITATION CENTER
SAN ANGELO, TX

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 TY HUGHSTON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$19

Largest payer

Novartis Pharmaceuticals Corporation

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.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to TY HUGHSTON, M.D.. To verify TY HUGHSTON, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

TY HUGHSTON, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 8,008 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

8,008
Total Claims
$615K
Total Drug Cost
522
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
17,545
Total Day Supply
507,969
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$470K
Generic Drug Cost
$141K
Opioid Claims
485 (6.1% rate)
Antibiotic Claims
284

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.51
Gender Split
57% female / 43% male
Age Distribution
<65: 25, 65-74: 222, 75-84: 193, 85+: 82

Top Prescribed Drugs (Medicare Part D)

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

What TY HUGHSTON, M.D. 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
Levothyroxine Sodium
474
Rosuvastatin Calcium
309
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
261
Pantoprazole Sodium
247
Atorvastatin Calcium
230
Amlodipine Besylate
229
Furosemide
215
Gabapentin
199
Metoprolol Succinate
199
Simvastatin
191

* 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 TY HUGHSTON, M.D. 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

TY HUGHSTON, M.D.'s 8,008 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as HUGHSTON.

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

Frequently Asked Questions

What is TY HUGHSTON, M.D.'s specialty?
TY HUGHSTON, M.D. specializes in Internal Medicine Physician and practices in SAN ANGELO, Texas. Credentials: M.D..
How much does TY HUGHSTON, M.D. prescribe under Medicare Part D?
In 2023, TY HUGHSTON, M.D. wrote 8,008 Medicare Part D claims totaling $615K in drug costs for 522 beneficiaries.
What is TY HUGHSTON, M.D.'s Medicare quality score?
TY HUGHSTON, M.D. has a CMS MIPS Final Score of 95.75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TY HUGHSTON, M.D. located?
TY HUGHSTON, M.D. is located at 120 E BEAUREGARD AVE, SAN ANGELO, TX, 76903. Phone: (325) 658-1511.
What is TY HUGHSTON, M.D.'s NPI number?
TY HUGHSTON, M.D.'s National Provider Identifier (NPI) is 1265426027, issued on 09/08/2005.
Does TY HUGHSTON, M.D. prescribe more brand-name or generic drugs?
TY HUGHSTON, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $470K in brand drug costs.
Does TY HUGHSTON, M.D. prescribe opioids?
Yes, TY HUGHSTON, M.D. had 485 opioid claims in 2023 with an opioid prescribing rate of 6.1%.
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 TY HUGHSTON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TY HUGHSTON, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Rosuvastatin Calcium, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TY HUGHSTON, M.D. accept Medicare?
TY HUGHSTON, M.D. appears in CMS Medicare data with 8,008 Part D claims and 522 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TY HUGHSTON, M.D.'s credentials?
TY HUGHSTON, M.D.'s NPI is 1265426027 with credentials M.D.. 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