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DR. SUSAN ALICIA HILBURN M.D.
NPI 1396772679
Internal Medicine - Hospice and Palliative Medicine in Burlington, MA

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
LAHEY HOSPITAL & MEDICAL CTR, 41 MALL ROAD, BURLINGTON, MA 01805(781) 744-3839(781) 744-1597 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 4, 2019, Dec 21, 2018, Oct 15, 2018 and 3 more (6 updates tracked since 2016).

About Dr. Susan Alicia Hilburn M.d. NPPES

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

DR. SUSAN ALICIA HILBURN M.D. (NPI 1396772679) is an individual hospice and palliative medicine provider in Burlington, Massachusetts, licensed in Massachusetts (246012) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and is a graduate of Mercer University School Of Medicine (2000).

NPPES Registry Identity

NPI1396772679
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameDR. SUSAN ALICIA HILBURNCredential: M.D.
Location AddressLAHEY HOSPITAL & MEDICAL CTR, 41 MALL ROADBurlington, MA 01805-0001
Mailing AddressLahey Hospital & Medical Ctr, 41 Mall RoadBurlington, MA 01805-0001 · (781) 744-3839 · Fax (781) 744-1597
Phone(781) 744-3839
Fax(781) 744-1597
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2000
Enumeration DateJune 26, 2006
Last NPPES UpdateJanuary 4, 20196 updates tracked since enumeration
✔ NPI 1396772679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in MA · 246012
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
LAHEY HOSPITAL & MEDICAL CTR, Burlington, MA 01805
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Other Identifiers 2

Medicaid3074299NH
Medicaid110096801AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama.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. Susan Alicia Hilburn M.d. 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 ID3779478995
PECOS Enrollment IDI20040217000825, I20170302002038
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 Reassignments

5

Medicare enrollment records show Susan Hilburn reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lahey Clinic, Inc.
15 mi
Internal Medicine
41 MALL RD, LAHEY CLINIC
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1063447316 (Massachusetts)
  • 1,574 clinicians in this Medicare group
NPI 1538194980 (781) 744-8000
Care Dimensions, Inc.
27 mi
Case Management
75 SYLVAN ST, SUITE B-102
Danvers, MA 01923
  • Reassigned Medicare billing, Massachusetts enrollment
  • 64 clinicians in this Medicare group
NPI 1316084890 (978) 774-7566
Catholic Medical Center
38 mi
General Acute Care Hospital
100 MCGREGOR ST
Manchester, NH 03102
  • Reassigned Medicare billing, New Hampshire enrollment
  • 199 clinicians in this Medicare group
NPI 1427154335 (603) 668-3545
Physicians Of Cape Cod Hospital
82 mi
Neuroradiology
27 PARK ST
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 678 clinicians in this Medicare group
NPI 1679832364 (508) 957-8667
Houston County Healthcare Authority
1,087 mi
Internal Medicine
889 ELBA HWY
Troy, AL 36079
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
NPI 1295065811 (334) 347-3404

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 4

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.
112 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services28 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
32 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Other Providers at the Same Location NPPES 14

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

DR. AMANDA G POWELL MD
Internal Medicine (Obesity Medicine)
LAHEY HOSPITAL & MEDICAL CTR, 50 MALL RD. G03
BURLINGTON, MA 01805
Middlesex County (855) 934-4488
SUSAN LADD MSW
Social Worker
LAHEY HOSPITAL & MEDICAL CTR, 41 MALL RD.
BURLINGTON, MA 01805
Middlesex County (781) 744-8013
MR. TIMOTHY PAUL MCGRATH N.P.
Nurse Practitioner (Gerontology)
LAHEY HOSPITAL & MEDICAL CTR, 41 MALL RD.
BURLINGTON, MA 01805
Middlesex County (781) 744-7000
DR. MARK ANTHONY GENDREAU M.D.
Emergency Medicine
LAHEY HOSPITAL & MEDICAL CTR, 41 MALL RD
BURLINGTON, MA 01805
Middlesex County (978) 538-4600
DANIEL VARDEH M.D.
Psychiatry & Neurology (Pain Medicine)
LAHEY HOSPITAL & MEDICAL CTR, 41 MALL RD.
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
ANDREEA GOLDBERGER M.D.
Internal Medicine
LAHEY HOSPITAL & MEDICAL CTR, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8000
JOSEPH R ACKERMAN LICSW
Social Worker (Clinical)
LAHEY HOSPITAL & MEDICAL CTR, 41 MALL RD.
BURLINGTON, MA 01805
Middlesex County (781) 744-5100
NANCY PORTER LICSW
Social Worker (Clinical)
LAHEY HOSPITAL & MEDICAL CTR, 41 MALL RD.
BURLINGTON, MA 01805
Middlesex County (781) 744-8013

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 Susan Hilburn's NPI number?

The NPI number for Susan Hilburn is 1396772679. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Susan Hilburn located?

Susan Hilburn practices at Lahey Hospital & Medical Ctr 41 Mall Road, Burlington, MA 01805. The listed phone number is (781) 744-3839.

What is Susan Hilburn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Susan Hilburn enrolled in Medicare?

Yes. Susan Hilburn 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 organizations bill Medicare for Susan Hilburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Hilburn reassigns Medicare benefits to 5 organizations: Lahey Clinic, Inc. (Burlington, MA), Care Dimensions, Inc. (Danvers, MA), Catholic Medical Center (Manchester, NH), Physicians Of Cape Cod Hospital (Hyannis, MA) and Houston County Healthcare Authority (Troy, AL). Each 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 Susan Hilburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Hilburn accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Alabama list Susan Hilburn 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 Susan Hilburn affiliated with any hospitals?

According to CMS data, Susan Hilburn is affiliated with Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Susan Hilburn was last updated on January 4, 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.