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DR. HILARY HERTAN M.D.
NPI 1154471993
Internal Medicine - Gastroenterology in Bronx, NY

Active since January 12, 2007PECOS Enrolled
100/100
CMS Quality Rating
600 EAST 233RD ST., OLMMC, DEPT. OF GI, BRONX, NY 10466(718) 920-9692(718) 920-6857 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hilary Hertan M.d. NPPES

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

DR. HILARY HERTAN M.D. (NPI 1154471993) is an individual gastroenterology provider in Bronx, New York, licensed in New York (156652) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of New York Medical College (1982).

NPPES Registry Identity

NPI1154471993
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. HILARY HERTANCredential: M.D.
Location Address600 EAST 233RD ST., OLMMC, DEPT. OF GIBronx, NY 10466
Mailing Address600 East 233rd St., Olmmc, Dept. Of GiBronx, NY 10466 · (718) 920-9692 · Fax (718) 920-6857
Phone(718) 920-9692
Fax(718) 920-6857
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1982
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154471993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 156652
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
600 EAST 233RD ST., Bronx, NY 10466
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE76303NY
Medicare ID-Type Unspecified3F7901NY
Medicaid01180230NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hilary Hertan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456320332
PECOS Enrollment IDI20040928000402
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 11

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 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.
142 services104 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
124 services109 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
51 services50 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
39 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services22 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10466 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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

Other Providers at the Same Location NPPES

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

OUR LADY OF MERCY MEDICAL CENTER
General Acute Care Hospital
600 EAST 233RD ST., DIABETES CLINIC MERCY COMMUNITY CARE
BRONX, NY 10466
Bronx County (347) 341-4373

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 Hilary Hertan's NPI number?

The NPI number for Hilary Hertan is 1154471993. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Hilary Hertan located?

Hilary Hertan practices at 600 East 233rd St. Olmmc, Dept. Of Gi, Bronx, NY 10466. The listed phone number is (718) 920-9692.

What is Hilary Hertan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Hilary Hertan enrolled in Medicare?

Yes. Hilary Hertan is registered in the Medicare PECOS enrollment system.

Is Hilary Hertan affiliated with any hospitals?

According to CMS data, Hilary Hertan is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Hilary Hertan was last updated on July 8, 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.