MEGAN E HILBORN MSPA, PA-C
NPI 1093225161
Physician Assistant in Dyer, IN

Active since October 03, 2017PECOS EnrolledAccepts Medicare Assignment
2150 GETTLER ST STE 455, DYER, IN 46311(219) 922-7159(219) 922-4020 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 2, 2023, Mar 1, 2023, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Megan E Hilborn Mspa, Pa-c NPPES

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

MEGAN E HILBORN MSPA, PA-C (NPI 1093225161) is an individual physician assistant in Dyer, Indiana, licensed in Indiana (10003909A) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Dyer, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1093225161
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEGAN E HILBORNCredential: MSPA, PA-C
Location Address2150 GETTLER ST STE 455Dyer, IN 46311-2381
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(219) 922-4020
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 3, 2017
Last NPPES UpdateOctober 2, 20234 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
NPI 1093225161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IN · 10003909A Licensed in IL · 085.006337
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2150 GETTLER ST STE 455, Dyer, IN 46311

Other Names 1

Former Name (1)Megan Mcnichols

Secondary Practice Locations 4

Location 17156 W 127th St Unit 300Palos Heights, IL 60463-1560 · Phone (708) 480-2650 · Fax (708) 575-2876
Location 21513 Norfolk AveWestchester, IL 60154-3737 · Phone (630) 408-1117
Location 31 Ingalls Drive North 2 BldgHarvey, IL 60426 · Phone (708) 333-2300
Location 4701 Superior Ave Ste EMunster, IN 46321-4038 · Phone (219) 922-7159 · Fax (219) 922-4020

Other Identifiers 1

Other085.006337IL · State Of Illinois License

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

Megan E Hilborn Mspa, Pa-c 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 ID5799051306
PECOS Enrollment IDI20230313001168
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 7

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
107 services97 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
106 services75 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
80 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
78 services76 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
67 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46311 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 4

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

Internal Medicine (Cardiovascular Disease)
2150 GETTLER ST STE 455
DYER, IN 46311
Internal Medicine
2150 GETTLER ST STE 455
DYER, IN 46311
Nurse Practitioner (Family)
2150 GETTLER ST STE 455
DYER, IN 46311
Nurse Practitioner (Family)
2150 GETTLER ST STE 455
DYER, IN 46311

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 Megan Hilborn's NPI number?

The NPI number for Megan Hilborn is 1093225161. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Where is Megan Hilborn located?

Megan Hilborn practices at 2150 Gettler St Ste 455, Dyer, IN 46311. The listed phone number is (219) 922-7159.

What is Megan Hilborn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Megan Hilborn enrolled in Medicare?

Yes. Megan Hilborn 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 Megan Hilborn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Megan Hilborn 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 Megan Hilborn affiliated with any hospitals?

According to CMS data, Megan Hilborn is affiliated with Franciscan Health Dyer and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Megan Hilborn was last updated on October 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.