DEREK HILGERS MD
NPI 1396306809
Emergency Medicine in Nashville, TN

Q: What is Derek Hilgers's NPI number?

The NPI number for Derek Hilgers is 1396306809. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Q: What is Derek Hilgers's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Hilgers was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 25, 2019PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Derek Hilgers Md NPPES

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

DEREK HILGERS MD (NPI 1396306809) is an individual emergency medicine provider in Nashville, Tennessee, licensed in Tennessee (75885) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Macneal Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1396306809

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDEREK HILGERSCredential: MD

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 322-6842

Phone(615) 322-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 25, 2019

Last NPPES UpdateJanuary 23, 2026

NPPES CertifiedJanuary 23, 2026

✔ NPI 1396306809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TN · 75885✔ Licensed in IL · 125074580

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Secondary Practice Location 1

Location 11901 W Harrison StChicago, IL 60612-3714 · Phone (312) 864-6000

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

Derek Hilgers 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 ID3870926017

PECOS Enrollment IDI20231027001621, I20260226001275

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

220 services201 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

50 services48 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.

49 services46 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

33 services31 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

32 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Macneal Hospital

Acute Care Hospitals · Berwyn, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140054

Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County

Emergency services Birthing friendly

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440144

Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

94.69

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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.

DR. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)