DAVID R. HILLAM MD
NPI 1275623878
Family Medicine in Provo, UT

Q: What is David Hillam's NPI number?

The NPI number for David Hillam is 1275623878. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is David Hillam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Hillam was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment

1300 E CENTER ST, PROVO, UT 84606(801) 344-4400 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 25, 2019, Jul 18, 2019, Feb 23, 2016 (3 updates tracked since 2016).

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About David R. Hillam Md NPPES

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

DAVID R. HILLAM MD (NPI 1275623878) is an individual family medicine provider in Provo, Utah, licensed in Utah (4932652-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1998).

NPPES Registry Identity

NPI1275623878

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDAVID R. HILLAMCredential: MD

Location Address1300 E CENTER STProvo, UT 84606-3554

Mailing AddressPo Box 270Provo, UT 84603-0270 · (801) 344-4400

Phone(801) 344-4400

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1998

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 25, 20193 updates tracked since enumeration

✔ NPI 1275623878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 4932652-1205

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.

1300 E CENTER ST, Provo, UT 84606

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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

David R. Hillam 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 ID1153379821

PECOS Enrollment IDI20050110000452

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 Reassignment

Medicare enrollment records show David Hillam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Utah

Same address

Psychiatric Hospital

1300 E CENTER ST
Provo, UT 84606

Reassigned Medicare billing, Utah enrollment
84 clinicians in this Medicare group

NPI 1811978620 (801) 344-4400

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 2

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

76 services26 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

24 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84606 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 20

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

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