KEVIN HILBORN M.D.
NPI 1528472552
Family Medicine in Pocatello, ID

Q: What is Kevin Hilborn's NPI number?

The NPI number for Kevin Hilborn is 1528472552. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Q: What is Kevin Hilborn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Hilborn was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 18, 2014PECOS EnrolledAccepts Medicare Assignment

90.86/100

CMS Quality Rating

465 MEMORIAL DR, POCATELLO, ID 83201(208) 282-4700(208) 282-4696 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Kevin Hilborn M.d. NPPES

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

KEVIN HILBORN M.D. (NPI 1528472552) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (MRM-1382) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with St Anthony Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1528472552

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEVIN HILBORNCredential: M.D.

Location Address465 MEMORIAL DRPocatello, ID 83201-4008

Mailing Address465 Memorial DrPocatello, ID 83201-4008 · (208) 282-4700 · Fax (208) 282-4696

Phone(208) 282-4700

Fax(208) 282-4696

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 18, 2014

✔ NPI 1528472552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · MRM-1382

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.

465 MEMORIAL DR, Pocatello, ID 83201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Kevin Hilborn 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 ID9638395460

PECOS Enrollment IDI20180316002407

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 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.

338 services144 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.

143 services131 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.

121 services112 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.

26 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St Anthony Hospital

Critical Access Hospitals · Pendleton, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381319

Location2801 St Anthony WayPendleton, OR 97801 · Umatilla County

Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500058

Location888 Swift BlvdRichland, WA 99352 · Benton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

90.86/100

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

Scored as part of a group practice

Quality

74.54

Improvement Activities

Cost

92.21

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.

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