DR. JOHN JOSEPH HILLGEN IV D.M.D.
NPI 1538193370
Dentist - Oral and Maxillofacial Surgery in Waterbury, CT

Active since July 10, 2006PECOS Enrolled
1389 W MAIN ST, SUITE 320, WATERBURY, CT 06708(203) 573-1427(203) 574-2460 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John Joseph Hillgen Iv D.m.d. NPPES

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

DR. JOHN JOSEPH HILLGEN IV D.M.D. (NPI 1538193370) is an individual oral and maxillofacial surgery provider in Waterbury, Connecticut, licensed in Connecticut (8138) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1538193370
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN JOSEPH HILLGEN IVCredential: D.M.D.
Location Address1389 W MAIN ST, SUITE 320Waterbury, CT 06708-3104
Mailing Address1389 W Main St, Suite 320Waterbury, CT 06708-3104 · (203) 573-1427 · Fax (203) 574-2460
Fax(203) 574-2460
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 3, 2008
✔ NPI 1538193370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CT · 8138
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1389 W MAIN ST, Waterbury, CT 06708

Other Identifiers 1

Medicare UPINU85183CT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Joseph Hillgen Iv D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557457702
PECOS Enrollment IDI20071018000661
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 John Hillgen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oral and Maxillofacial Surgery
1389 W MAIN ST, SUITE 320
Waterbury, CT 06708
  • Reassigned Medicare billing, Connecticut enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06708 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1389 W MAIN ST, TOWER 2, SUITE 320
WATERBURY, CT 06708
Occupational Therapist (Pediatrics)
1389 W MAIN ST
WATERBURY, CT 06708
Dentist (Oral and Maxillofacial Surgery)
1389 W MAIN ST, SUITE 320
WATERBURY, CT 06708
Dentist (Endodontics)
1389 W MAIN ST, SUITE 208
WATERBURY, CT 06708
Speech-Language Pathologist
1389 W MAIN ST
WATERBURY, CT 06708
Physician Assistant (Medical)
1389 W MAIN ST, SUITE120
WATERBURY, CT 06708
Speech-Language Pathologist
1389 W MAIN ST
WATERBURY, CT 06708
Radiology (Diagnostic Radiology)
1389 W MAIN ST
WATERBURY, CT 06708

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 John Hillgen's NPI number?

The NPI number for John Hillgen is 1538193370. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is John Hillgen located?

John Hillgen practices at 1389 W Main St Suite 320, Waterbury, CT 06708. The listed phone number is (203) 573-1427.

What is John Hillgen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Hillgen enrolled in Medicare?

Yes. John Hillgen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Hillgen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Hillgen reassigns Medicare benefits to Greater Waterbury Oral & Maxillofacial Surgeons LLC (Waterbury, CT). 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 John Hillgen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Hillgen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list John Hillgen 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.

When was this NPI record last updated?

The NPPES record for John Hillgen was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.