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Home > NC Providers > Thoracic (Chest) Surgeons

Dr. George C. Hughes IV, MD

Accepting New Patients

(817 Ratings)

Specializes in: Thoracic Surgery

Duke University School of Medicine (1995)

Professional interests include: aortic valve repair, valve-sparing aortic root replacement, transcatheter aortic valve replacement (TAVR), and more.

40 Duke Medicine Circle
Durham, NC 27710

(919) 681-1300

Dr. George C. Hughes IV, MD is a thoracic surgeon in Durham, NC specializing in thoracic surgery. He graduated from Duke University School of Medicine in 1995 and has 31 years of experience. Dr. George C. Hughes IV, MD is affiliated with Duke Health.

Office Locations

Duke Health

2301 Erwin Road
Durham, NC 27710

(919) 684-8111

open_in_new

Duke Health

40 Duke Medicine Circle
Durham, NC 27710

(919) 681-1300

(919) 668-7454

open_in_new

403 W 27th Street
Lumberton, NC 28358

(919) 684-8111

open_in_new

Noteworthy Medicare Patient Procedures Performed by Dr. George C. Hughes IV, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

open transfemoral TAVR

transcatheter aortic valve replacement

In 2023, Dr. George C. Hughes IV, MD performed more open transfemoral TAVR (through groin incision), and transcatheter aortic valve replacement (TAVR) procedures for Medicare patients than 95% of providers in related specialties within North Carolina.

Top 25%

By Volume:

cardiac procedures

inpatient hospital care

minimally invasive procedures

vascular procedures

In 2012, Dr. George C. Hughes IV, MD performed more cardiac procedures, inpatient hospital care (for patient admitted to hospital), minimally invasive procedures, and vascular procedures procedures for Medicare patients than 75% of providers in related specialties within North Carolina.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. George C. Hughes IV, MD treated as a thoracic surgeon in Durham, NC during 2012 were hospital care, inpatient care, vascular procedures and cardiac procedures.

Volume of procedures performed by Dr. George C. Hughes IV, MD for Medicare patients.

bypass surgery	15
cardiac procedures	146
catheterization	20
doctor visit	452
hospital care	228
inpatient care	228
minimally invasive procedures	54
open surgery	58
thoracic (chest) surgery procedures	30
vascular procedures	181
wound repair (e.g. stitches)	26

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. George C. Hughes IV, MD treated as a thoracic surgeon in Durham, NC during 2013 were hospital care, inpatient care, cardiac procedures and vascular procedures.

Volume of procedures performed by Dr. George C. Hughes IV, MD for Medicare patients.

bypass surgery	18
cardiac procedures	210
catheterization	18
doctor visit	488
hospital care	289
inpatient care	289
minimally invasive procedures	78
open surgery	53
thoracic (chest) surgery procedures	36
vascular procedures	135
wound repair (e.g. stitches)	25

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. George C. Hughes IV, MD.

**Gender**
Male	322
Female	190

**Ethnicity**
Non-Hispanic White	405
Black	85
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	208
From 75 to 84	167
85 and over	79
Less than 65	58

Conditions of Medicare patients treated by Dr. George C. Hughes IV, MD in 2013

Hypertension	75
High Cholesterol	74
Stroke	8
Ischemic Heart Disease	68
Depression	17
Chronic Kidney Disease	36
Asthma	8
Osteoperosis	5
Atrial Fibrilation	20
Heart Failure	44
Chronic Obstructive Pulmonary Disease	28
Diabetes	25
Dementia	7
Cancer	14

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. George C. Hughes IV, MD treated as a thoracic surgeon in Durham, NC during 2014 were hospital care, inpatient care, cardiac procedures and vascular procedures.

Volume of procedures performed by Dr. George C. Hughes IV, MD for Medicare patients.

cardiac procedures	204
doctor visit	438
hospital care	279
inpatient care	279
minimally invasive procedures	93
open surgery	25
vascular procedures	137
wound repair (e.g. stitches)	23

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. George C. Hughes IV, MD.

**Gender**
Male	315
Female	192

**Ethnicity**
Non-Hispanic White	407
Black	80
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	211
From 75 to 84	161
85 and over	76
Less than 65	59

Conditions of Medicare patients treated by Dr. George C. Hughes IV, MD in 2014

Hypertension	75
High Cholesterol	72
Stroke	9
Ischemic Heart Disease	66
Depression	21
Chronic Kidney Disease	39
Asthma	5
Osteoperosis	5
Atrial Fibrilation	24
Heart Failure	45
Chronic Obstructive Pulmonary Disease	25
Diabetes	29
Dementia	7
Cancer	12

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. George C. Hughes IV, MD treated as a thoracic surgeon in Durham, NC during 2015 were cardiac procedures, hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. George C. Hughes IV, MD for Medicare patients.

cardiac procedures	224
doctor visit	471
hospital care	217
inpatient care	217
minimally invasive procedures	84
open surgery	38
vascular procedures	141

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. George C. Hughes IV, MD.

**Gender**
Male	656
Female	420

**Ethnicity**
Non-Hispanic White	848
Black	176
Hispanic	0
Asian	0
Other	28
Native American	0

**Age**
From 65 to 74	444
From 75 to 84	354
85 and over	160
Less than 65	118

Conditions of Medicare patients treated by Dr. George C. Hughes IV, MD in 2015

Hypertension	75
High Cholesterol	70
Stroke	8
Ischemic Heart Disease	64
Depression	17
Chronic Kidney Disease	41
Asthma	16
Osteoperosis	5
Atrial Fibrilation	21
Heart Failure	46
Chronic Obstructive Pulmonary Disease	28
Diabetes	28
Dementia	9
Cancer	14

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. George C. Hughes IV, MD treated as a thoracic surgeon in Durham, NC during 2016 were hospital care, inpatient care, cardiac procedures and vascular procedures.

Volume of procedures performed by Dr. George C. Hughes IV, MD for Medicare patients.

cardiac procedures	188
doctor visit	444
hospital care	222
inpatient care	222
minimally invasive procedures	70
open surgery	24
vascular procedures	116

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. George C. Hughes IV, MD.

**Gender**
Male	305
Female	171

**Ethnicity**
Non-Hispanic White	381
Black	68
Hispanic	0
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	210
From 75 to 84	176
85 and over	48
Less than 65	42

Conditions of Medicare patients treated by Dr. George C. Hughes IV, MD in 2016

Hypertension	75
High Cholesterol	67
Stroke	5
Ischemic Heart Disease	60
Depression	17
Chronic Kidney Disease	43
Asthma	24
Osteoperosis	4
Atrial Fibrilation	20
Heart Failure	40
Chronic Obstructive Pulmonary Disease	23
Diabetes	27
Dementia	9
Cancer	14

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. George C. Hughes IV, MD treated as a thoracic surgeon in Durham, NC during 2017 were hospital care, inpatient care, cardiac procedures and vascular procedures.

Volume of procedures performed by Dr. George C. Hughes IV, MD for Medicare patients.

cardiac procedures	172
doctor visit	400
hospital care	219
inpatient care	219
minimally invasive procedures	80
open surgery	22
vascular procedures	119

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. George C. Hughes IV, MD.

**Gender**
Male	283
Female	165

**Ethnicity**
Non-Hispanic White	367
Black	55
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	206
From 75 to 84	145
85 and over	52
Less than 65	45

Conditions of Medicare patients treated by Dr. George C. Hughes IV, MD in 2017

Hypertension	75
High Cholesterol	63
Stroke	7
Ischemic Heart Disease	63
Depression	22
Chronic Kidney Disease	39
Asthma	8
Osteoperosis	5
Atrial Fibrilation	21
Heart Failure	40
Chronic Obstructive Pulmonary Disease	21
Diabetes	27
Dementia	16
Cancer	15

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. George C. Hughes IV, MD treated as a thoracic surgeon in Durham, NC during 2018 were hospital care, inpatient care, cardiac procedures and vascular procedures.

Volume of procedures performed by Dr. George C. Hughes IV, MD for Medicare patients.

cardiac procedures	152
doctor visit	363
hospital care	189
inpatient care	189
minimally invasive procedures	72
open surgery	16
vascular procedures	108

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. George C. Hughes IV, MD.

**Gender**
Male	261
Female	140

**Ethnicity**
Non-Hispanic White	320
Black	52
Hispanic	0
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	190
From 75 to 84	135
85 and over	39
Less than 65	37

Conditions of Medicare patients treated by Dr. George C. Hughes IV, MD in 2018

Hypertension	75
High Cholesterol	70
Stroke	7
Ischemic Heart Disease	60
Depression	17
Chronic Kidney Disease	39
Asthma	4
Osteoperosis	5
Atrial Fibrilation	25
Heart Failure	40
Chronic Obstructive Pulmonary Disease	17
Diabetes	26
Dementia	21
Cancer	12

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. George C. Hughes IV, MD treated as a thoracic surgeon in Durham, NC during 2019 were hospital care, inpatient care, cardiac procedures and vascular procedures.

Volume of procedures performed by Dr. George C. Hughes IV, MD for Medicare patients.

cardiac procedures	156
doctor visit	396
hospital care	158
inpatient care	158
minimally invasive procedures	57
vascular procedures	81

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. George C. Hughes IV, MD.

**Gender**
Male	284
Female	145

**Ethnicity**
Non-Hispanic White	354
Black	54
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	198
From 75 to 84	163
85 and over	30
Less than 65	38

Conditions of Medicare patients treated by Dr. George C. Hughes IV, MD in 2019

Hypertension	75
High Cholesterol	72
Stroke	7
Ischemic Heart Disease	61
Depression	17
Chronic Kidney Disease	36
Asthma	7
Osteoperosis	7
Atrial Fibrilation	23
Heart Failure	38
Chronic Obstructive Pulmonary Disease	18
Diabetes	24
Dementia	20
Cancer	13

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. George C. Hughes IV, MD treated as a thoracic surgeon in Durham, NC during 2020 were cardiac procedures, hospital care, inpatient care and minimally invasive procedures.

Volume of procedures performed by Dr. George C. Hughes IV, MD for Medicare patients.

cardiac procedures	116
doctor visit	345
hospital care	107
inpatient care	107
minimally invasive procedures	47
vascular procedures	47

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. George C. Hughes IV, MD.

**Gender**
Male	265
Female	116

**Ethnicity**
Non-Hispanic White	324
Black	39
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	182
From 75 to 84	138
85 and over	31
Less than 65	30

Conditions of Medicare patients treated by Dr. George C. Hughes IV, MD in 2020

Hypertension	75
High Cholesterol	72
Stroke	0
Ischemic Heart Disease	63
Depression	15
Chronic Kidney Disease	40
Asthma	6
Osteoperosis	7
Atrial Fibrilation	23
Heart Failure	39
Chronic Obstructive Pulmonary Disease	18
Diabetes	22
Dementia	17
Cancer	13

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. George C. Hughes IV, MD treated as a thoracic surgeon in Durham, NC during 2021 were cardiac procedures, hospital care, inpatient care and minimally invasive procedures.

Volume of procedures performed by Dr. George C. Hughes IV, MD for Medicare patients.

cardiac procedures	140
doctor visit	334
hospital care	78
inpatient care	78
minimally invasive procedures	50
vascular procedures	50

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. George C. Hughes IV, MD.

**Gender**
Male	252
Female	122

**Ethnicity**
Non-Hispanic White	316
Black	38
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	174
From 75 to 84	146
85 and over	29
Less than 65	25

Conditions of Medicare patients treated by Dr. George C. Hughes IV, MD in 2021

Hypertension	75
High Cholesterol	68
Stroke	7
Ischemic Heart Disease	60
Depression	17
Chronic Kidney Disease	36
Asthma	6
Osteoperosis	7
Atrial Fibrilation	23
Heart Failure	36
Chronic Obstructive Pulmonary Disease	15
Diabetes	25
Dementia	19
Cancer	14

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. George C. Hughes IV, MD treated as a thoracic surgeon in Durham, NC during 2022 were cardiac procedures, hospital care, inpatient care and minimally invasive procedures.

Volume of procedures performed by Dr. George C. Hughes IV, MD for Medicare patients.

cardiac procedures	98
doctor visit	336
hospital care	53
inpatient care	53
minimally invasive procedures	38
vascular procedures	38

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. George C. Hughes IV, MD.

**Gender**
Male	237
Female	124

**Ethnicity**
Non-Hispanic White	303
Black	35
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	152
From 75 to 84	155
85 and over	30
Less than 65	24

Conditions of Medicare patients treated by Dr. George C. Hughes IV, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	49
Depression	16
Chronic Kidney Disease	31
Asthma	7
Osteoperosis	12
Atrial Fibrilation	38
Heart Failure	36
Chronic Obstructive Pulmonary Disease	18
Diabetes	22
Dementia	4
Cancer	19

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. George C. Hughes IV, MD for Medicare patients.

The highest averages for the top procedures that Dr. George C. Hughes IV, MD treated as a thoracic surgeon in Durham, NC were hospital care, inpatient care, cardiac procedures and vascular procedures.

bypass surgery	16
cardiac procedures	164
catheterization	19
doctor visit	406
hospital care	185
inpatient care	185
minimally invasive procedures	65
open surgery	33
thoracic (chest) surgery procedures	33
vascular procedures	104
wound repair (e.g. stitches)	24

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. George C. Hughes IV, MD.

**Gender**
Male	289
Female	162

**Ethnicity**
Black / African American	62
Asian / Pacific Islander	0
Non-Hispanic White	365
Native American / Alaskan Native	0
Hispanic	0
Other	4

**Age**
75 to 84	158
85 and over	52
Less than 65	43
65 to 74	197

Average of Total of Conditions of Medicare patients treated by Dr. George C. Hughes IV, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. George C. Hughes IV, MD treated were hypertension, high cholesterol, ischemic heart disease and heart failure.

Hypertension	68
High Cholesterol	63
Stroke	6
Ischemic Heart Disease	55
Depression	16
Chronic Kidney Disease	34
Asthma	8
Osteoporosis	5
Heart Failure	36
Chronic Obstructive Pulmonary Disease	19
Diabetes	23
Atrial Fibrillation	21
Dementia	11
Cancer	12

Education & Training

Dr. George C. Hughes IV, MD graduated from Duke University School of Medicine in 1995. He completed residency at Duke University Medical Center. He is certified by the American Board of Thoracic Surgery, Thoracic and Cardiac Surgery and has a state license in North Carolina.

Medical School: Duke University School of Medicine (1995)

Residency: Duke University Medical Center (2002)

Board Certification: American Board of Thoracic Surgery, Thoracic and Cardiac Surgery

Licensed In: North Carolina

Affiliations & Hospitals

Dr. George C. Hughes IV, MD is associated with these hospitals and organizations:

Duke Health

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. George C. Hughes IV, MD appears to accept the following insurance providers: MedCost, Aetna Traditional Choice, Aetna Medicare PPO, BlueCross BlueShield of North Carolina, CIGNA Open Access Plus, WellCare, AmeriHealth, Medicare Part B, Medicare Advantage, AARP, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare HMO, Aetna, Aetna Workers' Compensation, TRICARE Prime, Aetna Open Choice PPO, United Healthcare, TRICARE Prime Remote, Medicare, Medicaid, Humana, Cigna, TRICARE, Harvard Pilgrim Health Care, Aetna Managed Choice POS, Aetna HMO, Gateway Health Alliance, Alliance Health (*Beginning January 2026), *Duke HomeCare and Hospice does not participate in the plan., Duke Employee Plans, Blue Options (123, PPO, HSA), *Duke HomeCare and Hospice and mental health providers do not participate with the plan., Aetna Quality Point of Service (QPOS), Aetna Choice POS, Aetna Choice POS II, Duke Advantage (*Beginning January 2026), Aetna Medicare Value Plan (HMO), Blue Advantage (*Available in select counties only), Duke Options (*Beginning January 2026), Duke Basic, Duke USA (*Beginning January 2026), Ambetter, Experience Health, Aetna Select HMO, Aetna PCP Coordinated POS Plan, Blue Select, Blue Medicare (HMO, PPO)*, Aetna Limited Benefit Insurance PPO, Vaya Health (*Beginning January 2026), Healthy Blue, Trillium (*Beginning January 2026), Aetna Health Network Only, Aetna Health Network Option, All Savers Fully Insured, Blue Value (*Duke Health Lake Norman and Kernodle Clinics only), First Medicare Direct, Carolina Complete Health, Healthgram, All Savers Alternate Funding, Aetna Medicare Assure Plan (HMO D-SNP), Aetna/CVS Health, Aetna Elect Choice HMO, Aetna Open Access Elect Choice, Partners (*Beginning January 2026), Aetna Voluntary Indemnity Group Plan, Duke Select, Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Managed Choice, NC State Employees Health Plan, Ambetter of North Carolina and United Medical Resources (UMR).

Insurance Accepted by Provider includes:

According to our sources, Dr. George C. Hughes IV, MD accepts the following insurance providers:

MedCost

Aetna Traditional Choice

Aetna Medicare PPO

BlueCross BlueShield of North Carolina

CIGNA Open Access Plus

WellCare

AmeriHealth

Medicare Part B

Medicare Advantage

AARP

CIGNA Open Access

United Healthcare PPO

United Healthcare POS

United Healthcare HMO

Aetna

Aetna Workers' Compensation

TRICARE Prime

Aetna Open Choice PPO

United Healthcare

TRICARE Prime Remote

Medicare

Medicaid

Humana

Cigna

TRICARE

Harvard Pilgrim Health Care

Aetna Managed Choice POS

Aetna HMO

Gateway Health Alliance

Alliance Health (*Beginning January 2026)

*Duke HomeCare and Hospice does not participate in the plan.

Duke Employee Plans

Blue Options (123, PPO, HSA)

*Duke HomeCare and Hospice and mental health providers do not participate with the plan.

Aetna Quality Point of Service (QPOS)

Aetna Choice POS, Aetna Choice POS II

Duke Advantage (*Beginning January 2026)

Aetna Medicare Value Plan (HMO)

Blue Advantage (*Available in select counties only)

Duke Options (*Beginning January 2026)

Duke Basic

Duke USA (*Beginning January 2026)

Ambetter

Experience Health

Aetna Select HMO

Aetna PCP Coordinated POS Plan

Blue Select

Blue Medicare (HMO, PPO)*

Aetna Limited Benefit Insurance PPO

Vaya Health (*Beginning January 2026)

Healthy Blue

Trillium (*Beginning January 2026)

Aetna Health Network Only, Aetna Health Network Option

All Savers Fully Insured

Blue Value (*Duke Health Lake Norman and Kernodle Clinics only)

First Medicare Direct

Carolina Complete Health

Healthgram

All Savers Alternate Funding

Aetna Medicare Assure Plan (HMO D-SNP)

Aetna/CVS Health

Aetna Elect Choice HMO, Aetna Open Access Elect Choice

Partners (*Beginning January 2026)

Aetna Voluntary Indemnity Group Plan

Duke Select

Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Managed Choice

NC State Employees Health Plan

Ambetter of North Carolina

United Medical Resources (UMR)

Ratings & Reviews

Dr. George C. Hughes IV, MD has an exceptional overall rating with an average of 4.91 out of 5 stars based on 817 ratings. We collect ratings and reviews of Dr. George C. Hughes IV, MD from all over the web to help you find the right in Durham, NC.

4.91

Overall Rating

(817 Ratings)

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General Payments

These charts describe general payments received by Dr. George C. Hughes IV, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Medtronic Vascular, Inc.	$24,733 Aortic Stent Grafts $12,791	Valiant Captivia $9,000	Heart Valves $1,603	Aortic Stent Graft $679	Catheters $173	Other $488
Bolton Medical Inc	$15,789 RELAY $7,404	RELAY PLUS $7,045	Relay Grafts $1,239	Grafts $100
W. L. Gore & Associates, Inc.	$14,038 TAG Thoracic Endoprosthesis $6,528	Product in Development $4,125	GORE VIABAHN Endoprosthesis $1,500	Conformable TAG Thoracic Endoprosthesis $1,357	EXCLUDER AAA Endoprosthesis $163	Other $364
Terumo Cardiovascular Systems Corporation	$10,944 CARDIOVASCULAR PRODUCT $6,432	Cardiovascular Products $3,820	Vascutek $292	Virtuosaph $199	$200
Neomend, Inc.	$8,200 SURGICAL $8,200
Other	$12,968 Cook Medical AAA $4,309	Structural Heart $1,692	E-nside TAAA $400	Aortic Stent Grafts $383	On-X $345	Other $5,838

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$23,000
Travel and Lodging	$19,496
Consulting Fee	$17,125
Honoraria	$13,300
Food and Beverage	$10,711
Other	$3,038

Research Payments

Dr. George C. Hughes IV, MD has received 323 research payments totaling $2,886,549.

Biography

Dr. George Hughes' areas of specialization are general surgery and thoracic surgery; he sees patients in Lumberton, NC and Durham, NC. Dr. Hughes's patients gave him an average rating of 5.0 stars (out of 5). He has indicated that his clinical interests include transcatheter aortic valve replacement (TAVR), thoracic endovascular aortic repair (TEVAR), and valve-sparing aortic root replacement. He is affiliated with Duke Health. He is an in-network provider for several insurance carriers, including Blue California, CIGNA Plans, and TRICARE. Dr. Hughes's practice in Durham, NC is open to new patients as reported by Duke Health. Before completing his residency at Duke University Medical Center, Dr. Hughes attended medical school at Duke University School of Medicine.