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SHANNON HILLIKER PA
NPI 1114409323
Physician Assistant in Binghamton, NY

Active since September 04, 2018PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
65 PENNSYLVANIA AVE, BINGHAMTON, NY 13903(607) 723-5393 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2019, Oct 12, 2018, Sep 4, 2018 (3 updates tracked since 2018).

About Shannon Hilliker Pa NPPES

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

SHANNON HILLIKER PA (NPI 1114409323) is an individual physician assistant in Binghamton, New York, licensed in New York (022814) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114409323
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON HILLIKERCredential: PA
Location Address65 PENNSYLVANIA AVEBinghamton, NY 13903-1651
Mailing Address65 Pennsylvania AveBinghamton, NY 13903-1651 · (607) 723-5393
Phone(607) 723-5393
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 4, 2018
Last NPPES UpdateFebruary 28, 20193 updates tracked since enumeration
✔ NPI 1114409323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 022814
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.
65 PENNSYLVANIA AVE, Binghamton, NY 13903
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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

Shannon Hilliker Pa 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 ID1951646231
PECOS Enrollment IDI20181213002567
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 6

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.
106 services95 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.
55 services49 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
42 services22 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.
38 services20 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
17 services11 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13903 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

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.

JOAN ADLER DPM
Podiatrist
65 PENNSYLVANIA AVE, SUITE 200
BINGHAMTON, NY 13903
Broome County (607) 772-8772
MARK SCHRECK
Orthopaedic Surgery
65 PENNSYLVANIA AVE
BINGHAMTON, NY 13903
Broome County (607) 723-5393
JAMES EDWARD MCNERNEY DPM
Podiatrist
65 PENNSYLVANIA AVE, SUITE 200
BINGHAMTON, NY 13903
Broome County (607) 772-8772
SHARI L NICHOLS DPM
Podiatrist
65 PENNSYLVANIA AVE, SUITE 200
BINGHAMTON, NY 13903
Broome County (607) 772-8772
CASSANDRA ROMA RPA-C
Physician Assistant
65 PENNSYLVANIA AVE
BINGHAMTON, NY 13903
Broome County (607) 723-5393
KATHERINE I FORD P.T.
Physical Therapist
65 PENNSYLVANIA AVE, SUITE 100
BINGHAMTON, NY 13903
Broome County (607) 723-8135
MRS. DORI LYNN MCGOWAN OTR/L
Occupational Therapist (Hand)
65 PENNSYLVANIA AVE
BINGHAMTON, NY 13903
Broome County (607) 762-2176
DR. CHRISTOPHER JOHN YANUSAS PH.D.
Clinical Neuropsychologist
65 PENNSYLVANIA AVE
BINGHAMTON, NY 13903
Broome County (607) 763-6033

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 Shannon Hilliker's NPI number?

The NPI number for Shannon Hilliker is 1114409323. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Where is Shannon Hilliker located?

Shannon Hilliker practices at 65 Pennsylvania Ave, Binghamton, NY 13903. The listed phone number is (607) 723-5393.

What is Shannon Hilliker's specialty?

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

Is Shannon Hilliker enrolled in Medicare?

Yes. Shannon Hilliker 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.

Is Shannon Hilliker affiliated with any hospitals?

According to CMS data, Shannon Hilliker is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Shannon Hilliker was last updated on February 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.