DR. JAMES MICHAEL HILL JR. MD
NPI 1134611502
Family Medicine in River Ridge, LA

Q: What is James Hill's NPI number?

The NPI number for James Hill is 1134611502. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Q: What is James Hill's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Hill was last updated on October 12, 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.

Active since June 01, 2018PECOS EnrolledAccepts Medicare Assignment

9605 JEFFERSON HWY STE E, RIVER RIDGE, LA 70123(504) 738-1600(504) 737-1264 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. James Michael Hill Jr. Md NPPES

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

DR. JAMES MICHAEL HILL JR. MD (NPI 1134611502) is an individual family medicine provider in River Ridge, Louisiana, licensed in Louisiana (328822) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of University Of Alabama School Of Medicine (2018).

NPPES Registry Identity

NPI1134611502

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES MICHAEL HILL JR.Credential: MD

Location Address9605 JEFFERSON HWY STE ERiver Ridge, LA 70123-2550

Mailing Address8815 Germantown Ave Fl 5Philadelphia, PA 19118-2722 · (215) 248-8145 · Fax (215) 248-8852

Phone(504) 738-1600

Fax(504) 737-1264

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2018

Enumeration DateJune 1, 2018

Last NPPES UpdateOctober 12, 2021

NPPES CertifiedOctober 12, 2021

✔ NPI 1134611502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in LA · 328822✔ Licensed in PA · MT215628

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9605 JEFFERSON HWY STE E, River Ridge, LA 70123

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Michael Hill Jr. Md 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 ID5193072395

PECOS Enrollment IDI20211001001579

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.

Medicare Billing Reassignment

Medicare enrollment records show James Hill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Jefferson Physicians Group Urgent Care

5.1 mi

Urgent Care

708 W ESPLANADE AVE
Kenner, LA 70065

Reassigned Medicare billing, Louisiana enrollment
Medicare enrollment name: East Jefferson Physicians Group Llc
313 clinicians in this Medicare group

NPI 1053859082 (504) 503-5100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

205 services119 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.

97 services71 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

16 services12 patients

Hospital Affiliations CMS Care Compare

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

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number190176

Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70123 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

$86.76 typical visit price

range $55.50 – $170.30

Typical copayment $21.69 (range $13.87 – $42.57)

Most-billed visit code 99203

Established Patient

$98.35 typical visit price

range $17.42 – $138.03

Typical copayment $24.58 (range $4.35 – $34.50)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers12 claims38 services$1.47 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers38 claims38 services$25.79 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

TANYA STAMPS APRN FNP

Nurse Practitioner (Family)