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KEVIN M HILTON MD
NPI 1245348184
Orthopaedic Surgery in Arlington Heights, IL

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
1300 E CENTRAL RD, ARLINGTON HEIGHTS, IL 60005(847) 870-6100(847) 870-8159 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2026, Jan 20, 2021, Feb 17, 2016 (3 updates tracked since 2016).

About Kevin M Hilton Md NPPES

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

KEVIN M HILTON MD (NPI 1245348184) is an individual orthopaedic surgery provider in Arlington Heights, Illinois, licensed in Illinois (036110888) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1999).

NPPES Registry Identity

NPI1245348184
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKEVIN M HILTONCredential: MD
Location Address1300 E CENTRAL RDArlington Heights, IL 60005-2857
Mailing Address1025 Maine StQuincy, IL 62301-4038 · (217) 222-6550 · Fax (217) 277-2253
Phone(847) 870-6100
Fax(847) 870-8159
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1999
Enumeration DateAugust 29, 2006
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1245348184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 036110888
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1300 E CENTRAL RD, Arlington Heights, IL 60005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, 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 and accepts Medicare assignment

Kevin M Hilton 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 ID7810950839
PECOS Enrollment IDI20041110000291
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 Reassignments

5

Medicare enrollment records show Kevin Hilton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockford Health Physicians
54 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428
Rochelle Community Hospital Association
57 mi
Family Medicine
900 N 2ND ST STE 200
Rochelle, IL 61068
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
NPI 1568518322 (815) 562-3784
Prairie Du Chien Memorial Hospital Association Inc
172 mi
Clinical Medical Laboratory
37868 US HIGHWAY 18
Prairie Du Chien, WI 53821
  • Reassigned Medicare billing, Wisconsin enrollment
  • 231 clinicians in this Medicare group
NPI 1295883247 (608) 357-2000
Memorial Hospital Association
200 mi
Critical Access
1454 N COUNTY ROAD 2050
Carthage, IL 62321
  • Reassigned Medicare billing, Illinois enrollment
  • 54 clinicians in this Medicare group
NPI 1730139031 (217) 357-8562
Dickinson County Healthcare System
256 mi
Rehabilitation
500 ROOSEVELT RD
Niagara, WI 54151
  • Reassigned Medicare billing, Michigan enrollment
  • 136 clinicians in this Medicare group
NPI 1043892003 (715) 251-1200

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

Areas of Expertise CMS Part B claims 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
276 services43 patients
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.
185 services116 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
63 services46 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.
49 services49 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
23 services22 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Carthage, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141305
Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County
Emergency services

Rochelle Community Hospital

Critical Access Hospitals · Rochelle, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141312
Location900 N 2nd StRochelle, IL 61068 · Ogle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers13 claims13 services$53.82 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.

ELIZABETH PROCIUK
Physician Assistant
1300 E CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 870-6100
KAREN THOMPSON PA
Physician Assistant
1300 E CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 870-6100
PHILLIP LUDKOWSKI MD
Orthopaedic Surgery
1300 E CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 870-6100
MELISSA VARANDA
Nurse Practitioner
1300 E CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 870-6100
MICHAEL TARUC
Physical Therapist
1300 E CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 392-4420
DR. NATALIE ANN MARIANI DDS
Dentist (General Practice)
1300 E CENTRAL RD, SUITE D
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 253-4626
KYLE BANG
Physical Therapy Assistant
1300 E CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 392-4420
E. QUINN REGAN MD
Orthopaedic Surgery
1300 E CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 870-6100

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 Kevin Hilton's NPI number?

The NPI number for Kevin Hilton is 1245348184. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Kevin Hilton located?

Kevin Hilton practices at 1300 E Central Rd, Arlington Heights, IL 60005. The listed phone number is (847) 870-6100.

What is Kevin Hilton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kevin Hilton enrolled in Medicare?

Yes. Kevin Hilton 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.

Which organizations bill Medicare for Kevin Hilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Hilton reassigns Medicare benefits to 5 organizations: Rockford Health Physicians (Rockford, IL), Rochelle Community Hospital Association (Rochelle, IL), Prairie Du Chien Memorial Hospital Association Inc (Prairie Du Chien, WI), Memorial Hospital Association (Carthage, IL) and Dickinson County Healthcare System (Niagara, WI). Each 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 Kevin Hilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Hilton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Kevin Hilton 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 Kevin Hilton affiliated with any hospitals?

According to CMS data, Kevin Hilton is affiliated with Blessing Hospital, Memorial Hospital and Rochelle Community Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Hilton was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.