HILARY DON MD
NPI 1255499273
Internal Medicine in Baltimore, MD

Active since December 04, 2006PECOS Enrolled
76.43/100
CMS Quality Rating
201 EAST UNIVERSITY PARKWAY, BALTIMORE, MD 21218(410) 464-6238 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hilary Don Md NPPES

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

HILARY DON MD (NPI 1255499273) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D0035102) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1984).

NPPES Registry Identity

NPI1255499273
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHILARY DONCredential: MD
Location Address201 EAST UNIVERSITY PARKWAYBaltimore, MD 21218
Mailing Address5901 North Charles StreetBaltimore, MD 21210 · (410) 464-6238
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1984
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 18, 2014
NPI 1255499273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D0035102
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.
201 EAST UNIVERSITY PARKWAY, Baltimore, MD 21218

Other Identifiers 3

Medicare ID-Type Unspecified236NMD
Medicare UPIND84649
Medicaid478841900MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hilary Don Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143266148
PECOS Enrollment IDI20050825000800
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 14

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
445 services56 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
410 services164 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
357 services148 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
287 services138 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
136 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
111 services105 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21218 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

76.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality66.06
Improvement Activities40
Cost33.37

Reported Quality Measures

Breast Cancer Screening
0%82 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%35 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%147 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
85%110 patients4/55-star benchmark: 91%
Dementia: Cognitive Assessment
0%41 patients
Diabetes: Eye Exam
0%57 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%57 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
92%1,094 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%249 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%25 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
44%418 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 25% · 261 patients
23%261 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 11% · 254 patients
Patients totalRate: 11% · 254 patients
6%254 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 25

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers36 claims79 services$5.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims29 services$1.06 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers13 claims14 services$20.75 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims400 services$1.77 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers33 claims57 services$9.04 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
3 suppliers13 claims26 services$6.39 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 9

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

Nurse Practitioner (Acute Care)
201 EAST UNIVERSITY PARKWAY
BALTIMORE, MD 21218
Internal Medicine
201 EAST UNIVERSITY PARKWAY, DEPT OF MEDICINE
BALTIMORE, MD 21218
Radiology (Diagnostic Radiology)
201 EAST UNIVERSITY PARKWAY, UNION MEMORIAL HOSPITAL DEPT OF RADIOLOGY
BALTIMORE, MD 21218
Physical Medicine & Rehabilitation (Sports Medicine)
201 EAST UNIVERSITY PARKWAY
BALTIMORE, MD 21218
Hospitalist
201 EAST UNIVERSITY PARKWAY, UNION MEMORIAL HOSPITAL-DEPARTMENT OF MEDICINE
BALTIMORE, MD 21218
Emergency Medicine
201 EAST UNIVERSITY PARKWAY, UNION MEMORIAL HOSPITAL
BALTIMORE, MD 21218
Student in an Organized Health Care Education/Training Program
201 EAST UNIVERSITY PARKWAY
BALTIMORE, MD 21218
Anesthesiology
201 EAST UNIVERSITY PARKWAY, 33RD STREET PROFESSIONAL BLDG, SUITE 226
BALTIMORE, MD 21218

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 Hilary Don's NPI number?

The NPI number for Hilary Don is 1255499273. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Hilary Don located?

Hilary Don practices at 201 East University Parkway, Baltimore, MD 21218. The listed phone number is (410) 464-6238.

What is Hilary Don's specialty?

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

Is Hilary Don enrolled in Medicare?

Yes. Hilary Don is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hilary Don was last updated on August 18, 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.