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DR. JUSTIN DAVID HILLIARD M.D.
NPI 1144584095
Neurological Surgery in Lexington, KY

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
740 S LIMESTONE KY CLINIC 401, LEXINGTON, KY 40536(859) 323-5661 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2019, Aug 6, 2018 (2 updates tracked since 2018).

About Dr. Justin David Hilliard M.d. NPPES

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

DR. JUSTIN DAVID HILLIARD M.D. (NPI 1144584095) is an individual neurological surgery provider in Lexington, Kentucky, licensed in Kentucky (52106) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144584095
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JUSTIN DAVID HILLIARDCredential: M.D.
Location Address740 S LIMESTONE KY CLINIC 401Lexington, KY 40536
Mailing Address740 S Limestone Ky Clinic 401Lexington, KY 40536-0001 · (859) 323-5661
Phone(859) 323-5661
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2012
Enumeration DateJune 26, 2012
Last NPPES UpdateJanuary 7, 20192 updates tracked since enumeration
✔ NPI 1144584095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in KY · 52106✔ Licensed in FL · TRN17374✔ Licensed in FL · ME131513
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
740 S LIMESTONE KY CLINIC 401, Lexington, KY 40536
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11600 SW Archer RdGainesville, FL 32610 · Phone (352) 273-9000 · Fax (352) 392-8413
Location 2311 N Clyde Morris Blvd Ste 550Daytona Beach, FL 32114-2766 · Phone (386) 425-8582 · Fax (386) 252-1776

Other Identifiers 1

Medicaid024814600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Justin David Hilliard 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 ID5890921407
PECOS Enrollment IDI20180618002891, I20190129002141
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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
56 services56 patients
Removal of skull bone with computer-assisted insertion of neurostimulator electrodes in brain with recording, first array 61867
This procedure involves the careful removal of a small portion of the skull, and with the aid of computer technology, electrodes are inserted into the brain. These electrodes help in brain activity recording and stimulation. This is the first array or set.
32 services26 patients
Destruction of tissue of brain using mri guidance 0398T
This procedure involves using MRI guidance to accurately target and destroy specific areas of brain tissue. It's a non-invasive method, meaning no incisions are made. The goal is to treat certain brain disorders with precision, while minimizing harm to healthy brain tissue.
22 services22 patients
Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays 61886
This procedure involves placing a small device, called a neurostimulator, in your brain. It sends electrical impulses via 2 or more connected electrodes to specific brain areas to help control symptoms. It's a safe and common procedure.
16 services16 patients
Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays 61886
This procedure involves placing a small device, called a neurostimulator, in your brain. It sends electrical impulses via 2 or more connected electrodes to specific brain areas to help control symptoms. It's a safe and common procedure.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Other Providers at the Same Location NPPES

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

KIMBERLY ANN LOWRY APRN
Nurse Practitioner (Family)
740 S LIMESTONE KY CLINIC 401
LEXINGTON, KY 40536
Fayette County (859) 323-5661

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 Justin Hilliard's NPI number?

The NPI number for Justin Hilliard is 1144584095. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Justin Hilliard located?

Justin Hilliard practices at 740 S Limestone Ky Clinic 401, Lexington, KY 40536. The listed phone number is (859) 323-5661.

What is Justin Hilliard's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Justin Hilliard enrolled in Medicare?

Yes. Justin Hilliard 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 Justin Hilliard accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Justin Hilliard 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 Justin Hilliard affiliated with any hospitals?

According to CMS data, Justin Hilliard is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Justin Hilliard was last updated on January 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.