RICHARD J HILGER MD
NPI 1164493516
Internal Medicine in Saint Paul, MN

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, MC21110Q, SAINT PAUL, MN 55101(651) 254-9594(651) 254-3662 Get Directions Write a Review

NPPES record last updated: September 10, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Richard J Hilger Md NPPES

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

RICHARD J HILGER MD (NPI 1164493516) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (41182) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and is a graduate of Creighton University School Of Medicine (1996).

NPPES Registry Identity

NPI1164493516
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICHARD J HILGERCredential: MD
Location Address640 JACKSON ST, MC21110QSaint Paul, MN 55101-2502
Mailing Address8170 33rd Ave S, Mc21110qBloomington, MN 55425-4516 · (651) 254-9594 · Fax (651) 254-3662
Fax(651) 254-3662
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1996
Enumeration DateFebruary 1, 2006
Last NPPES UpdateSeptember 10, 2008
NPI 1164493516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MN · 41182
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

640 JACKSON ST, Saint Paul, MN 55101

Other Identifiers 3

Medicare UPINH45235
Medicaid375430800MN
Medicare ID-Type Unspecified110007774

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

Richard J Hilger 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 ID9436285038
PECOS Enrollment IDI20100408000164
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 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.

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 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services16 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$68.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.57 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 20

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

Physician Assistant
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Family Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
ST PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101

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 Richard Hilger's NPI number?

The NPI number for Richard Hilger is 1164493516. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Richard Hilger located?

Richard Hilger practices at 640 Jackson St Mc21110q, Saint Paul, MN 55101. The listed phone number is (651) 254-9594.

What is Richard Hilger's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Hilger enrolled in Medicare?

Yes. Richard Hilger 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 Richard Hilger accept?

Health plans from Medica list Richard Hilger 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 Richard Hilger affiliated with any hospitals?

According to CMS data, Richard Hilger is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Richard Hilger was last updated on September 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.