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DR. JOHN B HYLTON MD
NPI 1316951700
Internal Medicine in Cooper City, FL

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
12323 SW 55 ST, STE 1003, COOPER CITY, FL 33330(954) 252-0083(954) 252-0207 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. John B Hylton Md NPPES

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

DR. JOHN B HYLTON MD (NPI 1316951700) is an individual internal medicine provider in Cooper City, Florida, licensed in Florida (ME60538) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital West, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1989).

NPPES Registry Identity

NPI1316951700
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN B HYLTONCredential: MD
Location Address12323 SW 55 ST, STE 1003Cooper City, FL 33330
Mailing Address12323 Sw 55 St, Ste 1003Cooper City, FL 33330 · (954) 252-0083 · Fax (954) 252-0207
Phone(954) 252-0083
Fax(954) 252-0207
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1989
Enumeration DateJuly 28, 2006
Last NPPES UpdateNovember 23, 2010
✔ NPI 1316951700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME60538
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.
12323 SW 55 ST, Cooper City, FL 33330
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Other Identifiers 3

Medicare ID-Type Unspecified14931FL
Medicare UPINF25175
Medicaid374309800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, AvMed, Cigna Healthcare 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 and accepts Medicare assignment

Dr. John B Hylton 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 ID5395768279
PECOS Enrollment IDI20060105000819
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 John Hylton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

John Bancroft Hylton M.D,p.A
Same address
Internal Medicine
12323 SW 55TH ST, SUITE 1003
Cooper City, FL 33330
  • Reassigned Medicare billing, Florida enrollment
NPI 1225378516 (954) 252-0083

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 5

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.
216 services117 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
147 services96 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100281
Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County
Emergency services Birthing friendly

Memorial Hospital Miramar

Acute Care Hospitals · Miramar, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100285
Location1901 SW 172nd AveMiramar, FL 33029 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33330 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
10 suppliers25 claims80 services$5.60 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier21 claims21 services$176.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Ralph ***** November 5, 2024

5/5
Dr Hylton has been my Primary Physician for more than 20 years. Expressing concern and empty for all My medical needs. I highly recommend Dr. Hylton.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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 John Hylton's NPI number?

The NPI number for John Hylton is 1316951700. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is John Hylton located?

John Hylton practices at 12323 SW 55 St Ste 1003, Cooper City, FL 33330. The listed phone number is (954) 252-0083.

What is John Hylton's specialty?

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

Is John Hylton enrolled in Medicare?

Yes. John Hylton 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.

Which organization bills Medicare for John Hylton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Hylton reassigns Medicare benefits to John Bancroft Hylton M.D,p.A (Cooper City, FL). The 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 John Hylton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Hylton accept?

Health plans from 22 Health, AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list John Hylton 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 John Hylton affiliated with any hospitals?

According to CMS data, John Hylton is affiliated with Memorial Hospital West and Memorial Hospital Miramar.

When was this NPI record last updated?

The NPPES record for John Hylton was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.