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HILARY BARTHOLOMAY
NPI 1053935163
Nurse Practitioner in New Haven, CT

Active since June 04, 2020PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
1450 CHAPEL ST, NEW HAVEN, CT 06511(203) 915-4301 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hilary Bartholomay NPPES

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

HILARY BARTHOLOMAY (NPI 1053935163) is an individual nurse practitioner in New Haven, Connecticut, licensed in Connecticut (8869) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053935163
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHILARY BARTHOLOMAY
Location Address1450 CHAPEL STNew Haven, CT 06511-4405
Mailing Address266 Marvelwood DrNew Haven, CT 06515-2449 · (203) 915-4301
Phone(203) 915-4301
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 4, 2020
NPPES CertifiedJune 4, 2020
✔ NPI 1053935163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 8869
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1450 CHAPEL ST, New Haven, CT 06511
Open in Google Maps ↗

Secondary Practice Location 1

Location 120 York StNew Haven, CT 06510-3220 · Phone (203) 915-4301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hilary Bartholomay is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496172462
PECOS Enrollment IDI20200908000057
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 20

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

ARTHUR H KNOWLTON MD
Radiology (Therapeutic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-3131
CAROLA MARTE MD
Internal Medicine
1450 CHAPEL ST, HAELEN CENTER
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-4135
CHARLES WILLIAM JONES JR. PHARMD, BCPS
Pharmacist (Pharmacotherapy)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-6267
ANDREA LOWE PAC
Physician Assistant
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-3464
KATHERINE ADAMS
Speech-Language Pathologist
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (475) 246-6982
J E FREDRIK ZETTERBERG MD
Radiology (Diagnostic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-3124
SARAH ROSE ROCKS PA
Physician Assistant (Medical)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 680-6185
DR. JULIE ROTHSTEIN ROSENBAUM MD
Internal Medicine
1450 CHAPEL ST, ADULT PRIMARY CARE CENTER
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-4044

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 Hilary Bartholomay's NPI number?

The NPI number for Hilary Bartholomay is 1053935163. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Hilary Bartholomay located?

Hilary Bartholomay practices at 1450 Chapel St, New Haven, CT 06511. The listed phone number is (203) 915-4301.

What is Hilary Bartholomay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Hilary Bartholomay enrolled in Medicare?

Yes. Hilary Bartholomay is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Hilary Bartholomay was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.