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HORACIO A HIDALGO JR. MD
NPI 1356309462
Family Medicine in Levittown, PA

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
4594 NEW FALLS ROAD, SUITE A, LEVITTOWN, PA 19056(267) 587-3700(215) 949-2650 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2021, Aug 10, 2018, Jan 11, 2017 (3 updates tracked since 2017).

About Horacio A Hidalgo Jr. Md NPPES

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

HORACIO A HIDALGO JR. MD (NPI 1356309462) is an individual family medicine provider in Levittown, Pennsylvania, licensed in Pennsylvania (MD040685L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lower Bucks Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1356309462
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHORACIO A HIDALGO JR.Credential: MD
Location Address4594 NEW FALLS ROAD, SUITE ALevittown, PA 19056
Mailing Address41 University Dr, Suite 300Newtown, PA 18940-1873 · (215) 710-5522 · Fax (215) 710-5181
Phone(267) 587-3700
Fax(215) 949-2650
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 1, 2006
Last NPPES UpdateMay 20, 20213 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1356309462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD040685L
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.
4594 NEW FALLS ROAD, Levittown, PA 19056
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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

Horacio A Hidalgo Jr. 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 ID5395734891
PECOS Enrollment IDI20100120000278
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 Horacio Hidalgo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trinity Health Mid-Atlantic Medical Group
Same address
Family Medicine
4595 NEW FALLS RD STE A
Levittown, PA 19056
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 646 clinicians in this Medicare group
NPI 1154637106 (215) 943-0424

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 8

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.
521 services203 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.
135 services135 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
77 services75 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
74 services72 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.
41 services22 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.
28 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Lower Bucks Hospital

Acute Care Hospitals · Bristol, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390070
Location501 Bath RoadBristol, PA 19007 · Bucks County
Emergency services

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19056 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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
13 suppliers50 claims113 services$5.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers31 claims40 services$1.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Horacio Hidalgo's NPI number?

The NPI number for Horacio Hidalgo is 1356309462. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Horacio Hidalgo located?

Horacio Hidalgo practices at 4594 New Falls Road Suite A, Levittown, PA 19056. The listed phone number is (267) 587-3700.

What is Horacio Hidalgo's specialty?

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

Is Horacio Hidalgo enrolled in Medicare?

Yes. Horacio Hidalgo 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 Horacio Hidalgo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Horacio Hidalgo reassigns Medicare benefits to Trinity Health Mid-Atlantic Medical Group (Levittown, PA). 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 Horacio Hidalgo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Horacio Hidalgo affiliated with any hospitals?

According to CMS data, Horacio Hidalgo is affiliated with Lower Bucks Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Horacio Hidalgo was last updated on May 20, 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.