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DR. KENTON SHAWN HILBISH M.D.
NPI 1205061389
Pediatrics in New Castle, IN

Active since May 19, 2009PECOS Enrolled
152 WITTENBRAKER AVE, NEW CASTLE, IN 47362(765) 599-3100(765) 518-5365 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2020, Dec 21, 2016 (2 updates tracked since 2016).

About Dr. Kenton Shawn Hilbish M.d. NPPES

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

DR. KENTON SHAWN HILBISH M.D. (NPI 1205061389) is an individual pediatrics provider in New Castle, Indiana, licensed in Indiana (01071106) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205061389
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KENTON SHAWN HILBISHCredential: M.D.
Location Address152 WITTENBRAKER AVENew Castle, IN 47362-5000
Mailing AddressPo Box 485New Castle, IN 47362-0485 · (765) 529-0780 · Fax (765) 521-9891
Phone(765) 599-3100
Fax(765) 518-5365
Sole ProprietorNo
Enumeration DateMay 19, 2009
Last NPPES UpdateSeptember 10, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
✔ NPI 1205061389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01071106
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
152 WITTENBRAKER AVE, New Castle, IN 47362
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Other Identifiers 1

Medicaid201069150IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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 (PECOS)

Dr. Kenton Shawn Hilbish M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kenton Hilbish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincent Pediatric Subspecialties
44 mi
Pediatrics
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1013967736 (317) 338-2273

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47362 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

STEVEN E. MILLER M.D.
Internal Medicine
152 WITTENBRAKER AVE
NEW CASTLE, IN 47362
Henry County (765) 599-3100
AMANDA B BAZAN FNP
Nurse Practitioner (Family)
152 WITTENBRAKER AVE
NEW CASTLE, IN 47362
Henry County (765) 599-3100
DR. JOSHUA J UNDERHILL MD
Pediatrics
152 WITTENBRAKER AVE
NEW CASTLE, IN 47362
Henry County (765) 599-3100
KATHLEEN ELAINE LANG NP
Nurse Practitioner (Pediatrics)
152 WITTENBRAKER AVE
NEW CASTLE, IN 47362
Henry County (765) 599-3100
LAUREN J WAUGH PA-C
Physician Assistant
152 WITTENBRAKER AVE
NEW CASTLE, IN 47362
Henry County (765) 599-3100
MR. DAVID B HENLEY M.D.
Psychiatry & Neurology (Psychiatry)
152 WITTENBRAKER AVE
NEW CASTLE, IN 47362
Henry County (765) 599-3100
DR. MEGAN ASH DO
Family Medicine
152 WITTENBRAKER AVE
NEW CASTLE, IN 47362
Henry County (765) 599-3100
MS. BARBARA ANNE LOGAN FNP
Nurse Practitioner (Psychiatric/Mental Health)
152 WITTENBRAKER AVE
NEW CASTLE, IN 47362
Henry County (765) 599-3100

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 Kenton Hilbish's NPI number?

The NPI number for Kenton Hilbish is 1205061389. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is Kenton Hilbish located?

Kenton Hilbish practices at 152 Wittenbraker Ave, New Castle, IN 47362. The listed phone number is (765) 599-3100.

What is Kenton Hilbish's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kenton Hilbish enrolled in Medicare?

Yes. Kenton Hilbish is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenton Hilbish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenton Hilbish reassigns Medicare benefits to St Vincent Pediatric Subspecialties (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenton Hilbish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenton Hilbish accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Kenton Hilbish 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.

When was this NPI record last updated?

The NPPES record for Kenton Hilbish was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.