1. Home
  2. Directory
  3. Kentucky
  4. Elizabethtown
  5. Pediatrics
  6. NPI Profile

DR. HILARY ANDERSON M.D.
NPI 1255786026
Pediatrics in Elizabethtown, KY

Active since April 29, 2016PECOS Enrolled
1301 RING RD, ELIZABETHTOWN, KY 42701(270) 765-2107(270) 769-9642 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2021, Jul 9, 2021, Jan 26, 2021 (3 updates tracked since 2021).

About Dr. Hilary Anderson M.d. NPPES

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

DR. HILARY ANDERSON M.D. (NPI 1255786026) is an individual pediatrics provider in Elizabethtown, Kentucky, licensed in Kentucky (54569) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1255786026
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. HILARY ANDERSONCredential: M.D.
Location Address1301 RING RDElizabethtown, KY 42701-8968
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490
Phone(270) 765-2107
Fax(270) 769-9642
Sole ProprietorNo
Enumeration DateApril 29, 2016
Last NPPES UpdateAugust 27, 20213 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
✔ NPI 1255786026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in KY · 54569✔ Licensed in AL · 36313
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.
1301 RING RD, Elizabethtown, KY 42701
Open in Google Maps ↗

Secondary Practice Location 1

Location 1625 19th Street SouthBirmingham, AL 35249 · Phone (205) 638-9589

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. Hilary Anderson 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 Reassignments

2

Medicare enrollment records show Hilary Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Norton Children's Medical Group, LLC
44 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336
Children's Urgent Care, LLC
300 mi
Urgent Care
500 CAHABA PARK CIR, STE 100
Birmingham, AL 35242
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: Childrens Urgent Care, LLC
  • 98 clinicians in this Medicare group
NPI 1124541438 (205) 848-2273

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 42701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 11

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

STEPHANIE RAE KELTY APRN
Nurse Practitioner (Pediatrics)
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
KRISTINA L KNISELY MD
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
LINNEA L SMITH MD
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
ALEXIS COLE M.D.
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
TYLER B HARP MD
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
AMANDA R. OWEN ARNP
Nurse Practitioner (Pediatrics)
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
PHILLIP G PADGETT M.D.
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
MICHELLE JACKSON SUMRALL MD
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107

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 Anderson's NPI number?

The NPI number for Hilary Anderson is 1255786026. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Hilary Anderson located?

Hilary Anderson practices at 1301 Ring Rd, Elizabethtown, KY 42701. The listed phone number is (270) 765-2107.

What is Hilary Anderson's specialty?

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

Is Hilary Anderson enrolled in Medicare?

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

Which organizations bill Medicare for Hilary Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hilary Anderson reassigns Medicare benefits to 2 organizations: Norton Children's Medical Group, LLC (Louisville, KY) and Children's Urgent Care, LLC (Birmingham, AL). 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 Hilary Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hilary Anderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Hilary Anderson 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 Hilary Anderson was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.