DR. HILTON C. RAY MD
NPI 1568464618
Family Medicine in Lamar, CO

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
403 KENDALL DR, LAMAR, CO 81052(719) 336-6767(719) 336-7217 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hilton C. Ray Md NPPES

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

DR. HILTON C. RAY MD (NPI 1568464618) is an individual family medicine provider in Lamar, Colorado, licensed in Colorado (DR28959) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Goodland Regional Medical Center, and is a graduate of University Of Virginia School Of Medicine (1986).

NPPES Registry Identity

NPI1568464618
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HILTON C. RAYCredential: MD
Location Address403 KENDALL DRLamar, CO 81052-3953
Mailing Address403 Kendall DrLamar, CO 81052-3953 · (719) 336-6767 · Fax (719) 336-7217
Fax(719) 336-7217
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1986
Enumeration DateAugust 10, 2005
Last NPPES UpdateJune 29, 2021
NPPES CertifiedJune 29, 2021
NPI 1568464618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · DR28959
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.
403 KENDALL DR, Lamar, CO 81052

Other Identifiers 2

OtherP00174756CO · Railroad
Medicaid01289594CO

Accepted 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. Hilton C. Ray 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 ID5991694424
PECOS Enrollment IDI20101207000906, I20220301002522
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 2

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.
76 services38 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
32 services28 patients

Hospital Affiliations CMS Care Compare

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

Goodland Regional Medical Center

Critical Access Hospitals · Goodland, KS
OwnershipGovernment - Local
CMS Certification Number171370
Location220 West Second StreetGoodland, KS 67735 · Sherman County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81052 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.54
Improvement Activities40

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
84%86 patients1/55-star benchmark: 100%
Advance Care Plan
69%244 patients3/55-star benchmark: 100%
Breast Cancer Screening
52%147 patients3/55-star benchmark: 93%
Cervical Cancer Screening
16%223 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
46%80 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
28%312 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
45%179 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
1%96 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
34%96 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%1,228 patients4/55-star benchmark: 100%
e-Prescribing
96%475 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
81%211 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%725 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
22%613 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%850 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 11% · 565 patients
9%565 patients
Provide Patients Electronic Access to Their Health Information
55%425 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
69%176 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 223 patients
Patients totalRate: 20% · 230 patients
17%230 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers14 claims14 services$20.88 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers19 claims110 services$3.04 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers47 claims47 services$19.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers82 claims82 services$108.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Surgery
403 KENDALL DR
LAMAR, CO 81052
Nurse Practitioner (Family)
403 KENDALL DR
LAMAR, CO 81052
Nurse Practitioner
403 KENDALL DR
LAMAR, CO 81052
Family Medicine
403 KENDALL DR
LAMAR, CO 81052
Neurological Surgery
403 KENDALL DR
LAMAR, CO 81052
Surgery
403 KENDALL DR, SUITE 1500
LAMAR, CO 81052
Preventive Medicine (Occupational Medicine)
403 KENDALL DR
LAMAR, CO 81052
General Practice
403 KENDALL DR
LAMAR, CO 81052

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 Hilton Ray's NPI number?

The NPI number for Hilton Ray is 1568464618. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Hilton Ray located?

Hilton Ray practices at 403 Kendall Dr, Lamar, CO 81052. The listed phone number is (719) 336-6767.

What is Hilton Ray's specialty?

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

Is Hilton Ray enrolled in Medicare?

Yes. Hilton Ray 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 Hilton Ray accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Hilton Ray 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 Hilton Ray affiliated with any hospitals?

According to CMS data, Hilton Ray is affiliated with Goodland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Hilton Ray was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.