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DR. MICHAEL HILBORN DO
NPI 1427638642
Hospitalist in Muskogee, OK

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
300 ROCKEFELLER DR, MUSKOGEE, OK 74401(918) 502-1900(918) 494-6303 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2024, Apr 12, 2021 (2 updates tracked since 2021).

About Dr. Michael Hilborn Do NPPES

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

DR. MICHAEL HILBORN DO (NPI 1427638642) is an individual hospitalist provider in Muskogee, Oklahoma, licensed in Oklahoma (7749) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1427638642
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MICHAEL HILBORNCredential: DO
Location Address300 ROCKEFELLER DRMuskogee, OK 74401-5075
Mailing Address6600 S Yale Ave Ste 1400Tulsa, OK 74136-3331 · (888) 247-0125 · Fax (918) 502-8210
Phone(918) 502-1900
Fax(918) 494-6303
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 12, 2021
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1427638642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OK · 7749
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
300 ROCKEFELLER DR, Muskogee, OK 74401
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1744 W 9th StTulsa, OK 74127-9907 · Phone (918) 599-1000
Location 2717 S Houston Ave # 304Tulsa, OK 74127-9023 · Phone (506) 438-2918
Location 310501 E 91st StTulsa, OK 74133-5790 · Phone (918) 502-1900
Location 46161 S Yale AveTulsa, OK 74136-1902 · Phone (918) 502-1900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Dr. Michael Hilborn 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 ID244776730
PECOS Enrollment IDI20240719003192
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 7

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.
166 services65 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.
78 services25 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.
51 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services26 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.
24 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370025
Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74401 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 20

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

DR. MATTHEW BRICE COLLIER DO
Hospitalist
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 502-1900
ERIC W MIX DO
Family Medicine
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 781-9466
KELLY J ELERICK PA
Physician Assistant (Medical)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 781-9466
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center (Medical Specialty)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 682-5501
PAUL P MATTHEWS D.O
Psychiatry & Neurology (Psychiatry)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 682-5501
DR. KARISSA MARIE MISNER DO
Hospitalist
300 ROCKEFELLER DR, REHABILITATION UNIT
MUSKOGEE, OK 74401
Muskogee County (918) 684-2522
MUSKOGEE REGIONAL MEDICAL CENTER LLC
Rehabilitation Unit
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 682-5501
BHAVANI CHOWDARY TUMMALA MD
Hospitalist
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 502-1900

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 Michael Hilborn's NPI number?

The NPI number for Michael Hilborn is 1427638642. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Michael Hilborn located?

Michael Hilborn practices at 300 Rockefeller Dr, Muskogee, OK 74401. The listed phone number is (918) 502-1900.

What is Michael Hilborn's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Michael Hilborn enrolled in Medicare?

Yes. Michael Hilborn 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 Michael Hilborn accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Michael Hilborn 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 Michael Hilborn affiliated with any hospitals?

According to CMS data, Michael Hilborn is affiliated with Saint Francis Hospital Muskogee, Saint Francis Hospital, Inc and Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Michael Hilborn was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.