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MATTHEW HILLERY APRN
NPI 1083363337
Nurse Practitioner - Primary Care in Bellefontaine, OH

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
1134 N MAIN ST FL 3, BELLEFONTAINE, OH 43311(937) 651-6962 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Hillery Aprn NPPES

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

MATTHEW HILLERY APRN (NPI 1083363337) is an individual primary care provider in Bellefontaine, Ohio, licensed in Ohio (0031510) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083363337
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMATTHEW HILLERYCredential: APRN
Location Address1134 N MAIN ST FL 3Bellefontaine, OH 43311-2379
Mailing Address1134 N Main St Fl 3Bellefontaine, OH 43311-2379 · (937) 651-6962
Phone(937) 651-6962
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1083363337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in OH · 0031510
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.420587 (OH)
1134 N MAIN ST FL 3, Bellefontaine, OH 43311
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Matthew Hillery Aprn 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 ID9739560822
PECOS Enrollment IDI20220720003552
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 4

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 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.
146 services112 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
128 services96 patients
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.
87 services76 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
44 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Mary Rutan Hospital

Acute Care Hospitals · Bellefontaine, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360197
Location205 Palmer AvenueBellefontaine, OH 43311 · Logan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43311 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Matthew Hillery's NPI number?

The NPI number for Matthew Hillery is 1083363337. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Matthew Hillery located?

Matthew Hillery practices at 1134 N Main St Fl 3, Bellefontaine, OH 43311. The listed phone number is (937) 651-6962.

What is Matthew Hillery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Matthew Hillery enrolled in Medicare?

Yes. Matthew Hillery 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 Matthew Hillery accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Matthew Hillery 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 Matthew Hillery affiliated with any hospitals?

According to CMS data, Matthew Hillery is affiliated with Memorial Hospital and Mary Rutan Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Hillery was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.