TODD A. HILLMAN M.D.
NPI 1063592673
Otolaryngology - Otology & Neurotology in Pittsburgh, PA

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
90.02/100
CMS Quality Rating
420 E NORTH AVE, SUITE 402, PITTSBURGH, PA 15212(412) 321-2480(412) 321-4207 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Todd A. Hillman M.d. NPPES

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

TODD A. HILLMAN M.D. (NPI 1063592673) is an individual otology & neurotology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD418088) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Ohio State University College Of Medicine (1997).

NPPES Registry Identity

NPI1063592673
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameTODD A. HILLMANCredential: M.D.
Location Address420 E NORTH AVE, SUITE 402Pittsburgh, PA 15212-4746
Mailing Address420 E North Ave, Suite 402Pittsburgh, PA 15212-4746 · (412) 321-2480 · Fax (412) 321-4207
Fax(412) 321-4207
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1997
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063592673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License Licensed in PA · MD418088
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
420 E NORTH AVE, Pittsburgh, PA 15212

Other Identifiers 4

Medicare UPINH61541PA
Other1373499PA · Highmark Blue Shield
Medicare ID-Type Unspecified058204NKDPA
Medicaid0018863900002PA

Accepted Insurance

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

Todd A. Hillman M.d. 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 ID3870494206
PECOS Enrollment IDI20050720000653
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 19

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.
479 services310 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
146 services141 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.
66 services54 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.
58 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
43 services43 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

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.

90.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.86
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
99%71 patients
Documentation of Current Medications in the Medical Record
90%3,859 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%2,295 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
67%2,507 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 932 patients
Patients screened: 98% · 932 patients
94%88 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%527 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
98%53 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Optometrist (Low Vision Rehabilitation)
420 E NORTH AVE, SUITE 116
PITTSBURGH, PA 15212
Otolaryngology (Otology & Neurotology)
420 E NORTH AVE, SUITE 402
PITTSBURGH, PA 15212
Internal Medicine (Endocrinology, Diabetes & Metabolism)
420 E NORTH AVE, SUITE 205
PITTSBURGH, PA 15212
Neurological Surgery
420 E NORTH AVE, SUITE 302 AGH NEUROSURGERY
PITTSBURGH, PA 15212
Ophthalmology
420 E NORTH AVE, SUITE 116
PITTSBURGH, PA 15212
Audiologist
420 E NORTH AVE, SUITE 402
PITTSBURGH, PA 15212
Ophthalmology
420 E NORTH AVE, SUITE 116
PITTSBURGH, PA 15212
Optometrist (Corneal and Contact Management)
420 E NORTH AVE, SUITE 116
PITTSBURGH, PA 15212

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 Todd Hillman's NPI number?

The NPI number for Todd Hillman is 1063592673. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Todd Hillman located?

Todd Hillman practices at 420 E North Ave Suite 402, Pittsburgh, PA 15212. The listed phone number is (412) 321-2480.

What is Todd Hillman's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Todd Hillman enrolled in Medicare?

Yes. Todd Hillman 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.

What insurance does Todd Hillman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Todd Hillman 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.

Is Todd Hillman affiliated with any hospitals?

According to CMS data, Todd Hillman is affiliated with Allegheny Valley Hospital, Allegheny General Hospital, Excela Health Westmoreland Regional Hospital, Jefferson Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Todd Hillman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.