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STEVEN JON HILLAM D.O.
NPI 1265728927
Ophthalmology in Payson, UT

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
910 E 100 N STE 125, PAYSON, UT 84651(801) 658-5486(801) 658-5496 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2023, Nov 16, 2021, Jun 10, 2021 (3 updates tracked since 2021).

About Steven Jon Hillam D.o. NPPES

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

STEVEN JON HILLAM D.O. (NPI 1265728927) is an individual ophthalmology provider in Payson, Utah, licensed in Utah (12199013-1204) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Rehoboth Mckinley Christian Health Care Services, and maintains a secondary practice location in Price.

NPPES Registry Identity

NPI1265728927
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSTEVEN JON HILLAMCredential: D.O.
Location Address910 E 100 N STE 125Payson, UT 84651-1638
Mailing Address910 E 100 N Ste 125Payson, UT 84651-1638 · (801) 658-5486
Phone(801) 658-5486
Fax(801) 658-5496
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2011
Enumeration DateJune 21, 2011
Last NPPES UpdateOctober 22, 20243 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1265728927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in UT · 12199013-1204✔ Licensed in NM · A-1979-16✔ Licensed in CO · 0055146
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
910 E 100 N STE 125, Payson, UT 84651
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 N Fairgrounds Rd Ste 2Price, UT 84501-4228 · Phone (435) 637-8689

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma 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

Steven Jon Hillam D.o. 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 ID1850602327
PECOS Enrollment IDI20160808002454, I20210727003060
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 12

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, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
378 services32 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
192 services37 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
163 services98 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
127 services104 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
116 services43 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
109 services52 patients

Hospital Affiliations CMS Care Compare 4

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

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321313
Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County
Emergency services

Castleview Hospital

Acute Care Hospitals · Price, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460011
Location300 North Hospital DrivePrice, UT 84501 · Carbon County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Payson, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460013
Location1000 East 100 NorthPayson, UT 84651 · Utah County
Emergency services Birthing friendly

Blue Mountain Hospital

Critical Access Hospitals · Blanding, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461310
Location802 South 200 WestBlanding, UT 84511 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84651 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

ORCHARD EYE CENTER LLC
Ophthalmology
910 E 100 N STE 125
PAYSON, UT 84651
Utah County (801) 658-5486

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 Steven Hillam's NPI number?

The NPI number for Steven Hillam is 1265728927. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Steven Hillam located?

Steven Hillam practices at 910 E 100 N Ste 125, Payson, UT 84651. The listed phone number is (801) 658-5486.

What is Steven Hillam's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Steven Hillam enrolled in Medicare?

Yes. Steven Hillam 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 Steven Hillam accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Steven Hillam 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 Steven Hillam affiliated with any hospitals?

According to CMS data, Steven Hillam is affiliated with Rehoboth Mckinley Christian Health Care Services, Castleview Hospital, Mountain View Hospital and Blue Mountain Hospital.

When was this NPI record last updated?

The NPPES record for Steven Hillam was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.