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DR. JUSTIN HILSON MD
NPI 1609035880
Pathology - Anatomic Pathology & Clinical Pathology in Framingham, MA

Active since June 03, 2008PECOS EnrolledAccepts Medicare Assignment
115 LINCOLN ST, DEPARTMENT OF PATHOLOGY, FRAMINGHAM, MA 01702(508) 383-1090 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Justin Hilson Md NPPES

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

DR. JUSTIN HILSON MD (NPI 1609035880) is an individual anatomic pathology & clinical pathology provider in Framingham, Massachusetts, licensed in Massachusetts (224543) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Metrowest Medical Center, and maintains a secondary practice location in Wethersfield.

NPPES Registry Identity

NPI1609035880
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JUSTIN HILSONCredential: MD
Location Address115 LINCOLN ST, DEPARTMENT OF PATHOLOGYFramingham, MA 01702-6358
Mailing Address171 Tremont St Apt 2Somerville, MA 02143-4110
Phone(508) 383-1090
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2005
Enumeration DateJune 3, 2008
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1609035880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MA · 224543
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
115 LINCOLN ST, Framingham, MA 01702
Open in Google Maps ↗

Secondary Practice Location 1

Location 11290 Silas Deane Hwy Ste 101Wethersfield, CT 06109-4337 · Phone (860) 859-9061 · Fax (860) 889-6200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Justin Hilson 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 ID7113111717
PECOS Enrollment IDI20101027001274, I20240903002548
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 Reassignments

5

Medicare enrollment records show Justin Hilson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metrowest Pathology Associates
Same address
Anatomic Pathology & Clinical Pathology
115 LINCOLN ST, FRAMINGHAM UNION CAMPUS
Framingham, MA 01702
  • Reassigned Medicare billing, Massachusetts enrollment
  • 10 clinicians in this Medicare group
NPI 1790890077 (508) 383-1091
Greater Boston Gastroenterology
0.6 mi
Gastroenterology
475 FRANKLIN ST, SUITE 110
Framingham, MA 01702
  • Reassigned Medicare billing, Massachusetts enrollment
  • 37 clinicians in this Medicare group
NPI 1164498796 (508) 620-9200
Gbgastro LLC
0.6 mi
Gastroenterology
475 FRANKLIN ST STE 110
Framingham, MA 01702
  • Reassigned Medicare billing, Massachusetts enrollment
  • 40 clinicians in this Medicare group
NPI 1033693023 (508) 620-9200
University Gastroenterology, LLC
33 mi
Gastroenterology
33 STANIFORD ST
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 141 clinicians in this Medicare group
NPI 1386952612 (401) 421-8800
Connecticut Gi PLLC
75 mi
Gastroenterology
85 SEYMOUR ST, 1000
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 417 clinicians in this Medicare group
NPI 1023124625 (860) 246-2571

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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
2,025 services818 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
356 services142 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
289 services238 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
88 services76 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
44 services12 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
32 services29 patients

Hospital Affiliations CMS Care Compare

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

Metrowest Medical Center

Acute Care Hospitals · Framingham, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220175
Location115 Lincoln StreetFramingham, MA 01701 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01702 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

JORGE ALEJANDRO ALZATE CRNA
Nurse Anesthetist, Certified Registered
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1000
JAVIER CONTRERAS YAMETTI MD
Student in an Organized Health Care Education/Training Program
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1000
AMY ADDO
Student in an Organized Health Care Education/Training Program
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1000
SARA BOVE
Student in an Organized Health Care Education/Training Program
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1000
ERIC EDUARDO FABARA MD
Student in an Organized Health Care Education/Training Program
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1555
REBECA MARTINEZ GONZALEZ MD
Student in an Organized Health Care Education/Training Program
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1000
REUBEN NEJAT JACOBSON
Student in an Organized Health Care Education/Training Program
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1000
LUNG HEALTH CENTER OF METROWEST LLC
Internal Medicine (Pulmonary Disease)
115 LINCOLN ST
FRAMINGHAM, MA 01702
Middlesex County (508) 383-1525

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 Justin Hilson's NPI number?

The NPI number for Justin Hilson is 1609035880. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Justin Hilson located?

Justin Hilson practices at 115 Lincoln St Department Of Pathology, Framingham, MA 01702. The listed phone number is (508) 383-1090.

What is Justin Hilson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Justin Hilson enrolled in Medicare?

Yes. Justin Hilson 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 organizations bill Medicare for Justin Hilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Hilson reassigns Medicare benefits to 5 organizations: Metrowest Pathology Associates (Framingham, MA), Greater Boston Gastroenterology (Framingham, MA), Gbgastro LLC (Framingham, MA), University Gastroenterology, LLC (Providence, RI) and Connecticut Gi PLLC (Hartford, CT). Each 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 Justin Hilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Hilson accept?

Health plans from Anthem Blue Cross and Blue Shield list Justin Hilson 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 Justin Hilson affiliated with any hospitals?

According to CMS data, Justin Hilson is affiliated with Metrowest Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Hilson was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.