Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOUGLAS R HILBERT MD
NPI 1477059202
Internal Medicine in Durham, NC

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
3643 N ROXBORO ST, WATTS BUILDING 344, DURHAM, NC 27704(201) 787-1903 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, Apr 15, 2024, Jun 29, 2021 (3 updates tracked since 2021).

About Douglas R Hilbert Md NPPES

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

DOUGLAS R HILBERT MD (NPI 1477059202) is an individual internal medicine provider in Durham, North Carolina, licensed in North Carolina (2021-01117) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477059202
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOUGLAS R HILBERTCredential: MD
Location Address3643 N ROXBORO ST, WATTS BUILDING 344Durham, NC 27704-2702
Mailing Address3643 N Roxboro St, Watts Building 344Durham, NC 27704-2702 · (919) 470-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 2, 2018
Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1477059202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2021-01117
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.
3643 N ROXBORO ST, Durham, NC 27704

Accepted 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

Douglas R Hilbert 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 ID7911244975
PECOS Enrollment IDI20210707001275
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 Douglas Hilbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
3643 N ROXBORO ST
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1497912232 (North Carolina)
  • 1,482 clinicians in this Medicare group

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.
127 services61 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.
116 services73 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.
69 services69 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.
59 services59 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Emergency Medicine
3643 N ROXBORO ST
DURHAM, NC 27704
Physician Assistant (Medical)
3643 N ROXBORO ST
DURHAM, NC 27704
Occupational Therapist
3643 N ROXBORO ST
DURHAM, NC 27704
Physical Therapist
3643 N ROXBORO ST
DURHAM, NC 27704
Pharmacist
3643 N ROXBORO ST
DURHAM, NC 27704
Anesthesiology
3643 N ROXBORO ST
DURHAM, NC 27704
Anesthesiology
3643 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine
3643 N ROXBORO ST
DURHAM, NC 27704

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 Douglas Hilbert's NPI number?

The NPI number for Douglas Hilbert is 1477059202. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Douglas Hilbert located?

Douglas Hilbert practices at 3643 N Roxboro St Watts Building 344, Durham, NC 27704. The listed phone number is (201) 787-1903.

What is Douglas Hilbert's specialty?

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

Is Douglas Hilbert enrolled in Medicare?

Yes. Douglas Hilbert 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 Douglas Hilbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Hilbert reassigns Medicare benefits to Duke University Health System, Inc. (Durham, NC). 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 Douglas Hilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Hilbert accept?

Health plans from Cigna Healthcare list Douglas Hilbert 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 Douglas Hilbert affiliated with any hospitals?

According to CMS data, Douglas Hilbert is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Hilbert was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.