DR. JAMES A HILTZ DMD
NPI 1053496117
Dentist - Endodontics in Harrisburg, PA

Active since October 26, 2006Opted out of Medicare · through Jul 21, 2027
1199 COLONIAL RD, HARRISBURG, PA 17112(717) 545-7400(717) 909-6865 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James A Hiltz Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES A HILTZ DMD (NPI 1053496117) is an individual endodontics provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (DSO26364) and active in the NPI registry since October 2006. He has opted out of Medicare through July 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053496117
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JAMES A HILTZCredential: DMD
Location Address1199 COLONIAL RDHarrisburg, PA 17112-1900
Mailing Address1199 Colonial RdHarrisburg, PA 17112-1900 · (717) 545-7400 · Fax (717) 909-6865
Fax(717) 909-6865
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1053496117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in PA · DSO26364
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

1199 COLONIAL RD, Harrisburg, PA 17112

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. James A Hiltz Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 21, 2017 through July 21, 2027.

Opt-Out Effective DateJuly 21, 2017
Opt-Out In Effect ThroughJuly 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
1199 COLONIAL RD
HARRISBURG, PA 17112
Dentist (Endodontics)
1199 COLONIAL RD
HARRISBURG, PA 17112
Dentist (Endodontics)
1199 COLONIAL RD
HARRISBURG, PA 17112
Internal Medicine
1199 COLONIAL RD
HARRISBURG, PA 17112
Dentist (Periodontics)
1199 COLONIAL RD
HARRISBURG, PA 17112
Dentist (Endodontics)
1199 COLONIAL RD
HARRISBURG, PA 17112
Dentist (Endodontics)
1199 COLONIAL RD
HARRISBURG, PA 17112
Internal Medicine
1199 COLONIAL RD
HARRISBURG, PA 17112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Hiltz's NPI number?

The NPI number for James Hiltz is 1053496117. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is James Hiltz located?

James Hiltz practices at 1199 Colonial Rd, Harrisburg, PA 17112. The listed phone number is (717) 545-7400.

What is James Hiltz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is James Hiltz enrolled in Medicare?

No. James Hiltz has opted out of Medicare through July 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does James Hiltz accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life list James Hiltz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Hiltz was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.