HILMER O. NEGRETE M.D.
NPI 1215911151
Internal Medicine - Nephrology in Poland, OH

Q: What is Hilmer Negrete's NPI number?

The NPI number for Hilmer Negrete is 1215911151. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Q: What is Hilmer Negrete's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Hilmer Negrete was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 December 05, 2005PECOS EnrolledAccepts Medicare Assignment

807 SOUTHWESTERN RUN, POLAND, OH 44514(330) 729-0059(330) 729-9297 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hilmer O. Negrete M.d. NPPES

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

HILMER O. NEGRETE M.D. (NPI 1215911151) is an individual nephrology provider in Poland, Ohio, licensed in Ohio (35086900) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1215911151

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameHILMER O. NEGRETECredential: M.D.

Location Address807 SOUTHWESTERN RUNPoland, OH 44514-3688

Mailing Address807 Southwestern RunPoland, OH 44514-3688 · (330) 729-0059 · Fax (330) 729-9297

Phone(330) 729-0059

Fax(330) 729-9297

Sole ProprietorYes

Medical School CMSOtherGraduated 1984

Enumeration DateDecember 5, 2005

Last NPPES UpdateOctober 21, 2014

✔ NPI 1215911151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in OH · 35086900

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

807 SOUTHWESTERN RUN, Poland, OH 44514

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Other Identifiers 3

Medicare UPING65660OH

Medicare ID-Type UnspecifiedNE4169321OH

Medicaid2600064OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Hilmer O. Negrete 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 ID6103886072

PECOS Enrollment IDI20050929001392

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.

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.

926 services223 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

186 services62 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

173 services155 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.

157 services87 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

95 services16 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

82 services19 patients

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.

61 services34 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

46 services13 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

40 services15 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

35 services14 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.

29 services26 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360064

Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County

Emergency services

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360161

Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County

Emergency services Birthing friendly

Salem Regional Medical Center

Acute Care Hospitals · Salem, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360185

Location1995 East State StreetSalem, OH 44460 · Columbiana County

Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360276

Location8401 Market StreetBoardman, OH 44512 · Mahoning County

Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH

5/5 CMS rating

OwnershipProprietary

CMS Certification Number360352

Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44514 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 4

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier11 claims330 services$0.33 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims720 services$0.18 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

1 supplier12 claims12 services$17.36 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier11 claims11 services$12.63 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 15

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

NATHAN ZEIDAN

Internal Medicine (Nephrology)

807 SOUTHWESTERN RUN
YOUNGSTOWN, OH 44514

Mahoning County (330) 729-0059

STACIE LEIGH MCMANNIS CNP

Nurse Practitioner (Acute Care)

807 SOUTHWESTERN RUN
YOUNGSTOWN, OH 44514

Mahoning County (330) 729-0059

LORENE MARTIN CRNP

Nurse Practitioner

807 SOUTHWESTERN RUN
POLAND, OH 44514

Mahoning County (330) 729-0059

LANI ANDERSON NP

Nurse Practitioner (Family)

807 SOUTHWESTERN RUN
YOUNGSTOWN, OH 44514

Mahoning County (330) 729-0059

SALMAN T SHAFI MD

Internal Medicine (Nephrology)

807 SOUTHWESTERN RUN
POLAND, OH 44514

Mahoning County (330) 729-0059

MRS. CAITLIN KALMAN AGACNP-BC

Nurse Practitioner (Acute Care)

807 SOUTHWESTERN RUN
YOUNGSTOWN, OH 44514

Mahoning County (330) 729-0059

TIFFANY BROOKE WARD FNP

Nurse Practitioner (Family)

807 SOUTHWESTERN RUN
YOUNGSTOWN, OH 44514

Mahoning County (330) 729-0059

CHELSEA JOLINE LISK

Nurse Practitioner (Family)

807 SOUTHWESTERN RUN
YOUNGSTOWN, OH 44514

Mahoning County (330) 729-0059

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 Hilmer Negrete's NPI number?

The NPI number for Hilmer Negrete is 1215911151. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Hilmer Negrete located?

Hilmer Negrete practices at 807 Southwestern Run, Poland, OH 44514. The listed phone number is (330) 729-0059.

What is Hilmer Negrete's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Hilmer Negrete enrolled in Medicare?

Yes. Hilmer Negrete 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 Hilmer Negrete accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Hilmer Negrete 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 Hilmer Negrete affiliated with any hospitals?

According to CMS data, Hilmer Negrete is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital, Salem Regional Medical Center, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Hilmer Negrete was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.