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Sports Medicine Physicians
Coverage
Medicare + 8 Networks
Telehealth
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About Dr. William M. Hughes, JR.
Background and practice information
Dr. William M. Hughes, JR. is a sports medicine physician with over 14 years of clinical experience serving patients in the Louisville, KY area. He completed his medical training at West Virginia School Of Osteopathic Medicine and has been in practice since 2012. He currently practices at Baptist Health Medical Group Inc.
Dr. William M. Hughes, JR.'s clinical practice focuses on treating patients with high cholesterol, high blood pressure, nerve pain and seizures, and related conditions. In addition to sports medicine, he also specializes in family practice.
Dr. William M. Hughes, JR. has earned an outstanding quality rating from the Centers for Medicare & Medicaid Services, scoring 95.5 out of 100 on the MIPS quality assessment — placing him among the top-performing providers in his specialty. Dr. William M. Hughes, JR. is in-network with 8 insurance providers, including Aetna, Cigna, Humana, and 5 more. Patients are encouraged to verify coverage with his office before scheduling an appointment.
Additional specialties: Family Practice
At a Glance
Education
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Claim this profilePractice Locations
4 locations
Baptist Health Medical Group Inc
Primary2400 Eastpoint Pkwy
Louisville, KY 40223
Baptist Health Medical Group Inc
3900 Kresge Way
Louisville, KY 40207
View 2 more locations
Pt Pros, Inc
4201 Springhurst Blvd
Louisville, KY 40241
(502) 805-7092
Pt Pros, Inc
4201 Springhurst Blvd
Louisville, KY 40241
(502) 805-7092
Affiliations
Hospital and facility affiliations
Treatment & Experience
Clinical practice and procedure experience for Dr. William M. Hughes, JR.
Services & Procedures
Dr. William M. Hughes, JR.'s clinical practice encompasses office visits, preventive care, diagnostic imaging, and 1 other areas of care.
Office Visits
313 servicesDr. William M. Hughes, JR. provides patient consultations ranging from routine follow-ups to comprehensive evaluations, including follow-up visit and new patient visit. Medicare patients typically pay significantly less than the standard charge for these services, with Medicare-approved rates averaging 60% below the billed amount.
Preventive Care
55 servicesDr. William M. Hughes, JR. delivers preventive health services including wellness visits, vaccinations, and health screenings, including annual wellness visit and pneumonia vaccine. Medicare patients typically pay significantly less than the standard charge for these services, with Medicare-approved rates averaging 51% below the billed amount.
Diagnostic Imaging
194 servicesDr. William M. Hughes, JR. utilizes diagnostic imaging to evaluate and monitor patient conditions, including knee X-ray, shoulder X-ray, and other related services. Medicare patients typically pay significantly less than the standard charge for these services, with Medicare-approved rates averaging 68% below the billed amount.
Injections & Procedures
56 servicesDr. William M. Hughes, JR. performs therapeutic injections and minor procedures, with joint injection being a key part of his practice. Medicare patients typically pay significantly less than the standard charge for these services, with Medicare-approved rates averaging 73% below the billed amount.
Treatment Approach
Dr. William M. Hughes, JR.'s treatment approach includes prescribing Atorvastatin Calcium, Rosuvastatin Calcium, Lisinopril for his patients. These medications are commonly used for treating high cholesterol, high blood pressure, nerve pain and seizures. He prescribing profile reflects experience across a wide range of treatments, addressing multiple aspects of patient care within his specialty. Dr. William M. Hughes, JR. has treated a significant number of Medicare patients, demonstrating an established practice in this area.
Source: CMS Medicare Provider Utilization and Payment Data, 2023.
Insurance Networks
Accepted insurance plans and networks
Dr. William M. Hughes, JR. accepts 54 plans from 8 insurers, including Cigna, Humana, UnitedHealthcare.
Source: CMS Transparency in Coverage filings (March 2026). Network participation may change — verify with the provider's office before scheduling.
Quality & Safety
CMS quality performance and patient safety measures
Exceptional
CMS Quality Score · Out of 100
Dr. Hughes received an overall quality score of 95.5 out of 100 from the Centers for Medicare & Medicaid Services (CMS), reflecting exceptional performance across clinical quality, patient safety, and care coordination. This score places Dr. Hughes among the highest-performing sports medicine physicians in Louisville, KY and nationwide. When searching for a top-rated sports medicine physician, a CMS quality score at this level indicates a strong commitment to evidence-based, high-quality patient care.
Clinical Quality
89.6/100Measures the quality of care provided based on clinical outcomes and patient safety
Health IT Adoption
100.0/100Measures adoption of electronic health records and patient access to health information
Care Improvement
40.0/40Reflects participation in activities that improve clinical practice and patient engagement
Source: CMS Merit-based Incentive Payment System
Financial Transparency
Industry payment disclosures
Pharmaceutical and medical device companies disclosed $17 in payments to Dr. William M. Hughes, JR. in 2024, primarily from DePuy Synthes Sales Inc. for food and beverage. These disclosures are required by federal law under the Physician Payments Sunshine Act.
Top Paying Companies
Source: CMS Open Payments, 2024.
Patient Reviews
Reviews and ratings from patients
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About Sports Medicine
Specialty overview and common conditions
A sports medicine specialist is a physician who focuses on the prevention, diagnosis, treatment, and rehabilitation of injuries related to sports and physical activity. These medical experts treat athletes of all ages and skill levels, from weekend warriors to professional competitors, helping them...
Common conditions treated by sports medicine specialists:
- ACL Injuries
- Rotator Cuff Injuries
- Concussions
- Tennis Elbow (Lateral Epicondylitis)
Frequently Asked Questions
Common questions about William M. Hughes, JR.
Does Dr. Hughes accept Medicare?
Yes, Dr. Hughes accepts Medicare assignment. Patients with Medicare coverage can see Dr. Hughes and typically pay less out of pocket when using a provider who accepts Medicare assignment.
What insurance does Dr. Hughes accept?
Dr. Hughes is in-network with 8 insurance providers, including Aetna, Cigna, Humana, Medicare, Molina Healthcare, and 3 more. Insurance networks can change, so patients should verify their specific plan coverage directly with Dr. Hughes's office before scheduling.
Does Dr. Hughes offer telehealth or virtual appointments?
Dr. Hughes does not currently list telehealth services. For virtual care options, contact the office directly or consider other sports medicine providers in Louisville who offer telehealth.
What conditions does Dr. Hughes treat?
As a sports medicine specialist, Dr. Hughes commonly treats conditions including acl injuries, rotator cuff injuries, concussions, tennis elbow (lateral epicondylitis), stress fractures, and other related health concerns. Contact the office to discuss your specific healthcare needs.
What medications does Dr. Hughes commonly prescribe?
Based on Medicare prescribing data, Dr. Hughes commonly prescribes medications including Atorvastatin Calcium, Rosuvastatin Calcium, Lisinopril. The specific medications prescribed depend on each patient's individual diagnosis and health needs. Patients should discuss treatment options directly with Dr. Hughes during their consultation.
What is Dr. Hughes's quality rating?
Dr. Hughes has received an outstanding quality score of 95.5 out of 100 from the Centers for Medicare & Medicaid Services (CMS) through the Merit-based Incentive Payment System (MIPS). This score reflects performance across quality measures, promoting interoperability, improvement activities, and cost efficiency.
Where did Dr. Hughes go to medical school?
Dr. Hughes completed medical training at West Virginia School Of Osteopathic Medicine and has been practicing since 2012, bringing over 14 years of clinical experience.
Where is Dr. Hughes's office located?
Dr. Hughes practices at 2400 EASTPOINT PKWY, Louisville, KY 40223 at BAPTIST HEALTH MEDICAL GROUP INC. Contact the office for appointment scheduling.
How do I make an appointment with Dr. Hughes?
To schedule an appointment with Dr. Hughes, contact the office directly. New patients should have their insurance information and medical records ready when calling.
Data source: CMS National Provider Registry ·
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Medical Disclaimer: This content is for informational purposes only and is not a substitute for professional medical advice. Learn more about our editorial standards