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DR. DOUGLAS MICHAEL HILDREW M.D.
NPI 1629393913
Otolaryngology - Otology & Neurotology in New Haven, CT

Active since March 30, 2010PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
800 HOWARD AVE FL 4, NEW HAVEN, CT 06519(203) 785-5430(203) 785-3970 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 26, 2017, Aug 24, 2017 (2 updates tracked since 2017).

About Dr. Douglas Michael Hildrew M.d. NPPES

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

DR. DOUGLAS MICHAEL HILDREW M.D. (NPI 1629393913) is an individual otology & neurotology provider in New Haven, Connecticut, licensed in Connecticut (56282) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2010).

NPPES Registry Identity

NPI1629393913
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameDR. DOUGLAS MICHAEL HILDREWCredential: M.D.
Location Address800 HOWARD AVE FL 4New Haven, CT 06519-1369
Mailing Address800 Howard Ave Fl 4New Haven, CT 06519-1369 · (203) 785-5430 · Fax (203) 785-3970
Phone(203) 785-5430
Fax(203) 785-3970
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2010
Enumeration DateMarch 30, 2010
Last NPPES UpdateOctober 26, 20172 updates tracked since enumeration
✔ NPI 1629393913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License✔ Licensed in CT · 56282
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
800 HOWARD AVE FL 4, New Haven, CT 06519
Open in Google Maps ↗

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. Douglas Michael Hildrew 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 ID1052684503
PECOS Enrollment IDI20170905000813
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 Douglas Hildrew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yale University
0.4 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
81 services62 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
61 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
17 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 15

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

NAD E. KATTAN AU.D.
Audiologist
800 HOWARD AVE FL 4, YALE HEARING & BALANCE CENTER
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2467
BRUNO CARDOSO
Otolaryngology
800 HOWARD AVE FL 4, YNHH, SURGERY - OTOLARYNGOLOGY
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2593
JUSTIN COTTRELL MD
Otolaryngology (Otology & Neurotology)
800 HOWARD AVE FL 4
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (877) 925-3637
DR. HANNAH ELIZABETH DUNN AU.D.
Audiologist
800 HOWARD AVE FL 4
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-5430
DR. RICHARD PETER MANES MD
Otolaryngology
800 HOWARD AVE FL 4, YALE PHYSICIANS BUILDING
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2593
DR. YAN HO LEE M.D.
Otolaryngology
800 HOWARD AVE FL 4
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (917) 885-4546
JOHN PATRICK GERRITY JR. MA, CCC-SLP
Speech-Language Pathologist
800 HOWARD AVE FL 4
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-5430
DR. OLIVIA DAVIS PIPER AU.D.
Audiologist
800 HOWARD AVE FL 4
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-5430

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 Douglas Hildrew's NPI number?

The NPI number for Douglas Hildrew is 1629393913. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Where is Douglas Hildrew located?

Douglas Hildrew practices at 800 Howard Ave Fl 4, New Haven, CT 06519. The listed phone number is (203) 785-5430.

What is Douglas Hildrew's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Douglas Hildrew enrolled in Medicare?

Yes. Douglas Hildrew 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 organization bills Medicare for Douglas Hildrew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Hildrew reassigns Medicare benefits to Yale University (New Haven, 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 Douglas Hildrew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Hildrew accept?

Health plans from Anthem Blue Cross and Blue Shield list Douglas Hildrew 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 Douglas Hildrew was last updated on October 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.