PAUL D HILL A.R.N.P.
NPI 1124160742
Nurse Practitioner in Spokane, WA

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
97.2/100
CMS Quality Rating
5633 N LIDGERWOOD ST, SPOKANE, WA 99208(509) 484-8069(509) 462-4086 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul D Hill A.r.n.p. NPPES

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

PAUL D HILL A.R.N.P. (NPI 1124160742) is an individual nurse practitioner in Spokane, Washington, licensed in Washington (AP30003773) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Providence Mount Carmel Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1124160742
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NamePAUL D HILLCredential: A.R.N.P.
Location Address5633 N LIDGERWOOD STSpokane, WA 99208-1224
Mailing Address910 N Washington St Ste 209Spokane, WA 99201-2260 · (509) 484-8069 · Fax (509) 462-4086
Fax(509) 462-4086
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1124160742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WA · AP30003773
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5633 N LIDGERWOOD ST, Spokane, WA 99208

Other Identifiers 1

Medicare UPINQ26349WA

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

Paul D Hill A.r.n.p. 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 ID6002877909
PECOS Enrollment IDI20041025000149
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 16

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,196 services309 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.
732 services408 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
639 services385 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
364 services267 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
115 services100 patients
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.
99 services68 patients

Hospital Affiliations CMS Care Compare

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

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501326
Location982 East ColumbiaColville, WA 99114 · Stevens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99208 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

97.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.67
Promoting Interoperability100
Improvement Activities40
Cost100

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%148 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%475 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
83%724 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
98%65 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%724 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%161 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Case Manager/Care Coordinator
5633 N LIDGERWOOD ST
SPOKANE, WA 99208
Physician Assistant
5633 N LIDGERWOOD ST
SPOKANE, WA 99208
Emergency Medicine
5633 N LIDGERWOOD ST
SPOKANE, WA 99208
Emergency Medicine
5633 N LIDGERWOOD ST
SPOKANE, WA 99208
General Acute Care Hospital
5633 N LIDGERWOOD ST
SPOKANE, WA 99208
Family Medicine
5633 N LIDGERWOOD ST
SPOKANE, WA 99208
Pharmacist
5633 N LIDGERWOOD ST
SPOKANE, WA 99208
Physician Assistant
5633 N LIDGERWOOD ST
SPOKANE, WA 99208

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 Paul Hill's NPI number?

The NPI number for Paul Hill is 1124160742. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Paul Hill located?

Paul Hill practices at 5633 N Lidgerwood St, Spokane, WA 99208. The listed phone number is (509) 484-8069.

What is Paul Hill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Paul Hill enrolled in Medicare?

Yes. Paul Hill 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 Paul Hill accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Paul Hill 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 Paul Hill affiliated with any hospitals?

According to CMS data, Paul Hill is affiliated with Providence Mount Carmel Hospital.

When was this NPI record last updated?

The NPPES record for Paul Hill was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.