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THOMAS HILTS DO
NPI 1306899935
Family Medicine in Grand Rapids, MI

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
1471 E BELTLINE AVE NE, SUITE 201, GRAND RAPIDS, MI 49525(616) 616-6858(616) 447-7674 Get Directions Write a Review

NPPES record last updated: June 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas Hilts Do NPPES

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

THOMAS HILTS DO (NPI 1306899935) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101012022) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Michigan State University College Of Osteopathic Medicine (1993).

NPPES Registry Identity

NPI1306899935
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS HILTSCredential: DO
Location Address1471 E BELTLINE AVE NE, SUITE 201Grand Rapids, MI 49525-4548
Mailing Address245 State St SeGrand Rapids, MI 49503-4328 · (616) 685-1808 · Fax (616) 685-1850
Phone(616) 616-6858
Fax(616) 447-7674
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1993
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 29, 2009
✔ NPI 1306899935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101012022
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.
1471 E BELTLINE AVE NE, Grand Rapids, MI 49525
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Other Identifiers 12

Medicare ID-Type UnspecifiedM02830103MI
Medicare ID-Type UnspecifiedP32930081MI
Medicaid4313380MI
Medicare UPINH38974MI
Medicaid4313522MI
Medicaid4313371MI
Medicaid4313344MI
Medicaid4313531MI
Medicaid4877133MI
Medicaid4313513MI
Medicare ID-Type UnspecifiedM69390167MI
Medicaid4591646MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Thomas Hilts Do 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 ID2264436419
PECOS Enrollment IDI20060831000297
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

JENNIFER VERMEULEN
Nurse Practitioner (Adult Health)
1471 E BELTLINE AVE NE, STE 201
GRAND RAPIDS, MI 49525
Kent County (616) 685-8620
MELANIE RANTA NP-C
Nurse Practitioner
1471 E BELTLINE AVE NE, SUITE 201
GRAND RAPIDS, MI 49525
Kent County (616) 685-8620
REBECCA JAWAHIR SYPNIEWSKI FNP
Nurse Practitioner (Family)
1471 E BELTLINE AVE NE, SUITE 201
GRAND RAPIDS, MI 49525
Kent County (616) 685-8620
WILLIAM MICHAEL AHRENS MD
Family Medicine
1471 E BELTLINE AVE NE, STE 201
GRAND RAPIDS, MI 49525
Kent County (616) 685-8620
SALEH F DYKE MD
Family Medicine
1471 E BELTLINE AVE NE, STE 201
GRAND RAPIDS, MI 49525
Kent County (616) 685-8620
MARC TRAVIS MD
Family Medicine
1471 E BELTLINE AVE NE, STE 201
GRAND RAPIDS, MI 49525
Kent County (616) 685-8620
CHENOAH WALSH NP
Nurse Practitioner (Family)
1471 E BELTLINE AVE NE, STE 102
GRAND RAPIDS, MI 49525
Kent County (616) 685-3414
JILL BULTJE MD
Family Medicine
1471 E BELTLINE AVE NE, SUITE 201
GRAND RAPIDS, MI 49525
Kent County (616) 685-8620

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 Thomas Hilts's NPI number?

The NPI number for Thomas Hilts is 1306899935. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Thomas Hilts located?

Thomas Hilts practices at 1471 E Beltline Ave NE Suite 201, Grand Rapids, MI 49525. The listed phone number is (616) 616-6858.

What is Thomas Hilts's specialty?

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

Is Thomas Hilts enrolled in Medicare?

Yes. Thomas Hilts 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 Thomas Hilts accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Thomas Hilts 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 Thomas Hilts affiliated with any hospitals?

According to CMS data, Thomas Hilts is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Thomas Hilts was last updated on June 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.