DR. JONATHAN PAUL HILTS D.O.
NPI 1093061988
Internal Medicine - Rheumatology in Bismarck, ND

Active since July 27, 2012PECOS EnrolledAccepts Medicare Assignment
83.98/100
CMS Quality Rating
222 N 7TH ST, BISMARCK, ND 58501(701) 323-5422 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Apr 29, 2022 (2 updates tracked since 2022).

About Dr. Jonathan Paul Hilts D.o. NPPES

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

DR. JONATHAN PAUL HILTS D.O. (NPI 1093061988) is an individual rheumatology provider in Bismarck, North Dakota, licensed in North Dakota (14712) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2012).

NPPES Registry Identity

NPI1093061988
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. JONATHAN PAUL HILTSCredential: D.O.
Location Address222 N 7TH STBismarck, ND 58501-4436
Mailing Address222 N 7th StBismarck, ND 58501-4436 · (701) 323-5422
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2012
Enumeration DateJuly 27, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
NPI 1093061988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in ND · 14712
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125-060905 (IL)
222 N 7TH ST, Bismarck, ND 58501

Other Names 1

Other Name (5)Dr. Jon Paul Hilts

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

Dr. Jonathan Paul Hilts D.o. 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 ID6103127428
PECOS Enrollment IDI20170907003299
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 5

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.
330 services192 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.
105 services76 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.
47 services39 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
27 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Sakakawea Medical Center - Cah

Critical Access Hospitals · Hazen, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351310
Location510 8th Avenue NEHazen, ND 58545 · Mercer County
Emergency services

Jacobson Memorial Hospital Care Center

Critical Access Hospitals · Elgin, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351314
Location601 East St NElgin, ND 58533 · Grant County
Emergency services

Heart Of America Medical Center

Critical Access Hospitals · Rugby, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351332
Location800 S Main AveRugby, ND 58368 · Pierce County
Emergency services

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351334
Location1301 15th Ave WWilliston, ND 58801 · Williams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

83.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability99
Improvement Activities40
Cost68.15

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.

Nurse Practitioner (Gerontology)
222 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner (Family)
222 N 7TH ST
BISMARCK, ND 58501
Family Medicine
222 N 7TH ST
BISMARCK, ND 58501
Hospitalist
222 N 7TH ST
BISMARCK, ND 58501
Anesthesiology
222 N 7TH ST
BISMARCK, ND 58501
Thoracic Surgery (Cardiothoracic Vascular Surgery)
222 N 7TH ST
BISMARCK, ND 58501
Physician Assistant
222 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner
222 N 7TH ST
BISMARCK, ND 58501

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 Jonathan Hilts's NPI number?

The NPI number for Jonathan Hilts is 1093061988. It was assigned to this individual provider in the NPPES registry on July 27, 2012. The provider is also known as Dr. Jon Paul Hilts.

Where is Jonathan Hilts located?

Jonathan Hilts practices at 222 N 7th St, Bismarck, ND 58501. The listed phone number is (701) 323-5422.

What is Jonathan Hilts's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jonathan Hilts enrolled in Medicare?

Yes. Jonathan Hilts 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 Jonathan Hilts accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Jonathan Hilts 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 Jonathan Hilts affiliated with any hospitals?

According to CMS data, Jonathan Hilts is affiliated with Sanford Medical Center Bismarck, Sakakawea Medical Center - Cah, Jacobson Memorial Hospital Care Center, Heart Of America Medical Center and Chi St Alexius Health Williston.

When was this NPI record last updated?

The NPPES record for Jonathan Hilts was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.