MICHAEL R HILEMAN P.A.
NPI 1609007921
Orthopaedic Surgery in Wilmington, DE

Active since August 04, 2009PECOS EnrolledAccepts Medicare Assignment
701 N CLAYTON ST, WILMINGTON, DE 19805(302) 354-5157(302) 421-4367 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael R Hileman P.a. NPPES

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

MICHAEL R HILEMAN P.A. (NPI 1609007921) is an individual orthopaedic surgery provider in Wilmington, Delaware, licensed in Delaware (C5-0000675) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1609007921
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL R HILEMANCredential: P.A.
Location Address701 N CLAYTON STWilmington, DE 19805-3155
Mailing Address2 Sanford DrNewark, DE 19713-4028 · (443) 350-4183
Fax(302) 421-4367
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 4, 2009
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
NPI 1609007921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in DE · C5-0000675
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License C0008000 (MD)
701 N CLAYTON ST, Wilmington, DE 19805

Secondary Practice Location 1

Location 11941 Limestone Rd, Suite 101Wilmington, DE 19808-5408 · Phone (302) 633-3555 · Fax (302) 633-3350

Other Identifiers 1

OtherP00828490DE · Rr Medicare

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

Michael R Hileman P.a. 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 ID9436204153
PECOS Enrollment IDI20090902000263, I20250804002553
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

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.

Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19805 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
701 N CLAYTON ST
WILMINGTON, DE 19805
Durable Medical Equipment & Medical Supplies
701 N CLAYTON ST, ST FRANCIS HOSPITAL MEDICAL SERVICES BLDG, STE 600
WILMINGTON, DE 19805
Nurse's Aide
701 N CLAYTON ST, ST. FRANCIS MEDICAL SERVICES BUILDING, SUITE 401
WILMINGTON, DE 19805
Physician Assistant
701 N CLAYTON ST
WILMINGTON, DE 19805
Internal Medicine (Gastroenterology)
701 N CLAYTON ST
WILMINGTON, DE 19805
General Acute Care Hospital
701 N CLAYTON ST
WILMINGTON, DE 19805
Hospitalist
701 N CLAYTON ST
WILMINGTON, DE 19805
Anesthesiology
701 N CLAYTON ST
WILMINGTON, DE 19805

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 Hileman's NPI number?

The NPI number for Michael Hileman is 1609007921. It was assigned to this individual provider in the NPPES registry on August 4, 2009.

Where is Michael Hileman located?

Michael Hileman practices at 701 N Clayton St, Wilmington, DE 19805. The listed phone number is (302) 354-5157.

What is Michael Hileman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Hileman enrolled in Medicare?

Yes. Michael Hileman 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 Hileman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Michael Hileman 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 Michael Hileman was last updated on September 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.