DR. CHARLES GRAFFORD HILGENHURST M.D.
NPI 1114966355
Anesthesiology - Pain Medicine in Smyrna, TN

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
81.8/100
CMS Quality Rating
519 ENON SPRINGS RD E, SMYRNA, TN 37167(615) 223-6200(615) 223-2100 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2021, Aug 30, 2018, Sep 15, 2016 (3 updates tracked since 2016).

About Dr. Charles Grafford Hilgenhurst M.d. NPPES

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

DR. CHARLES GRAFFORD HILGENHURST M.D. (NPI 1114966355) is an individual pain medicine provider in Smyrna, Tennessee, licensed in Tennessee (38297) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Tristar Southern Hills Medical Center, and maintains a secondary practice location in Smyrna.

NPPES Registry Identity

NPI1114966355
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. CHARLES GRAFFORD HILGENHURSTCredential: M.D.
Location Address519 ENON SPRINGS RD ESmyrna, TN 37167-4446
Mailing Address519 Enon Springs Rd ESmyrna, TN 37167-4446 · (615) 223-6200 · Fax (615) 223-2100
Fax(615) 223-2100
Sole ProprietorYes
Medical School CMSRush Medical College Of Rush UniversityGraduated 1983
Enumeration DateJune 5, 2006
Last NPPES UpdateApril 19, 20213 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
NPI 1114966355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in TN · 38297
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 38297 (TN)
519 ENON SPRINGS RD E, Smyrna, TN 37167

Other Names 1

Former Name (1)Dr. Graf Hilgenhurst M.d.

Secondary Practice Location 1

Location 11177 Rock Springs Rd Ste 120Smyrna, TN 37167-8444 · Phone (615) 223-6200 · Fax (615) 223-2100

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. Charles Grafford Hilgenhurst 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 ID7517936925
PECOS Enrollment IDI20040930001215, I20050404000886
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.
1,061 services272 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
549 services245 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.
133 services116 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.
35 services35 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Tristar Southern Hills Medical Center

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440197
Location391 Wallace RdNashville, TN 37211 · Davidson County
Emergency services

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.

81.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost77.92

Other Providers at the Same Location NPPES 6

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

Anesthesiology (Pain Medicine)
519 ENON SPRINGS RD E
SMYRNA, TN 37167
Anesthesiology (Pain Medicine)
519 ENON SPRINGS RD E
SMYRNA, TN 37167
Physician Assistant
519 ENON SPRINGS RD E
SMYRNA, TN 37167
Specialist
519 ENON SPRINGS RD E
SMYRNA, TN 37167
Clinic/Center (Primary Care)
519 ENON SPRINGS RD E
SMYRNA, TN 37167
Nurse Practitioner (Family)
519 ENON SPRINGS RD E
SMYRNA, TN 37167

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 Charles Hilgenhurst's NPI number?

The NPI number for Charles Hilgenhurst is 1114966355. It was assigned to this individual provider in the NPPES registry on June 5, 2006. The provider is also known as Dr. Graf Hilgenhurst M.D..

Where is Charles Hilgenhurst located?

Charles Hilgenhurst practices at 519 Enon Springs Rd E, Smyrna, TN 37167. The listed phone number is (615) 223-6200.

What is Charles Hilgenhurst's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Charles Hilgenhurst enrolled in Medicare?

Yes. Charles Hilgenhurst 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 Charles Hilgenhurst accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Charles Hilgenhurst 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 Charles Hilgenhurst affiliated with any hospitals?

According to CMS data, Charles Hilgenhurst is affiliated with Tristar Southern Hills Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Hilgenhurst was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.