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DR. VICTOR HIDALGO M.D.
NPI 1235353830
Family Medicine in Alton, IL

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
73.88/100
CMS Quality Rating
815 E 5TH ST, 202, ALTON, IL 62002(618) 462-4939 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Victor Hidalgo M.d. NPPES

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

DR. VICTOR HIDALGO M.D. (NPI 1235353830) is an individual family medicine provider in Alton, Illinois, licensed in Illinois (036120370) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Red Bud Regional Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1235353830
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VICTOR HIDALGOCredential: M.D.
Location Address815 E 5TH ST, 202Alton, IL 62002-6471
Mailing Address815 E 5th St, 202Alton, IL 62002-6471 · (618) 462-4939
Phone(618) 462-4939
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 13, 2007
Last NPPES UpdateFebruary 1, 2012
✔ NPI 1235353830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036120370
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
815 E 5TH ST, Alton, IL 62002
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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. Victor Hidalgo 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 ID7315008596
PECOS Enrollment IDI20081205000567
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
94 services92 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
87 services77 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
60 services56 patients

Hospital Affiliations CMS Care Compare

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

Red Bud Regional Hospital

Critical Access Hospitals · Red Bud, IL
OwnershipProprietary
CMS Certification Number141348
Location325 Spring StreetRed Bud, IL 62278 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

73.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.79
Promoting Interoperability91
Improvement Activities40
Cost56.52

Other Providers at the Same Location NPPES 17

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

LEA ANNE VARBLE LCSW
Social Worker (Clinical)
815 E 5TH ST, SUITE 101
ALTON, IL 62002
Madison County (618) 463-5278
DR. KELLY ANN BOGOWITH PT
Physical Therapist
815 E 5TH ST, SUITE A, OUTPATIENT REHABILITATION SERVICES
ALTON, IL 62002
Madison County (618) 463-5344
RACHEL E REYNOLDS PT
Physical Therapist
815 E 5TH ST
ALTON, IL 62002
Madison County (618) 463-5171
KIRSTIN FISCHER DPT
Physical Therapist
815 E 5TH ST
ALTON, IL 62002
Madison County (618) 463-5171
DR. RANDALL J CRAMMOND D.M.D.
Dentist (Oral and Maxillofacial Surgery)
815 E 5TH ST, SUITE 411
ALTON, IL 62002
Madison County (618) 462-1646
JAN R GREEN LCSW
Social Worker (Clinical)
815 E 5TH ST
ALTON, IL 62002
Madison County (618) 474-6244
MANPREET KAUR SANDHU M.D.
Internal Medicine (Hematology & Oncology)
815 E 5TH ST, SUITE 303
ALTON, IL 62002
Madison County (618) 474-4855
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
815 E 5TH ST
ALTON, IL 62002
Madison County (618) 397-3303

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 Victor Hidalgo's NPI number?

The NPI number for Victor Hidalgo is 1235353830. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Victor Hidalgo located?

Victor Hidalgo practices at 815 E 5th St 202, Alton, IL 62002. The listed phone number is (618) 462-4939.

What is Victor Hidalgo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Victor Hidalgo enrolled in Medicare?

Yes. Victor Hidalgo 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.

Is Victor Hidalgo affiliated with any hospitals?

According to CMS data, Victor Hidalgo is affiliated with Red Bud Regional Hospital.

When was this NPI record last updated?

The NPPES record for Victor Hidalgo was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.