ANDREA HILGEFORD APRN
NPI 1639613086
Nurse Practitioner - Family in Covington, KY

Active since December 05, 2016PECOS EnrolledAccepts Medicare Assignment
96.53/100
CMS Quality Rating
1401 MADISON AVE, COVINGTON, KY 41011(859) 655-6100(859) 655-6148 Get Directions Write a Review

NPPES record last updated: December 27, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrea Hilgeford Aprn NPPES

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

ANDREA HILGEFORD APRN (NPI 1639613086) is an individual family provider in Covington, Kentucky, licensed in Kentucky (3010927) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2016).

NPPES Registry Identity

NPI1639613086
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA HILGEFORDCredential: APRN
Location Address1401 MADISON AVECovington, KY 41011-3313
Mailing Address1401 Madison AveCovington, KY 41011-3313 · (859) 655-6100 · Fax (859) 655-6148
Fax(859) 655-6148
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2016
Enumeration DateDecember 5, 2016
Last NPPES UpdateDecember 27, 2017
NPI 1639613086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3010927
1401 MADISON AVE, Covington, KY 41011

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

Andrea Hilgeford Aprn 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 ID7416237060
PECOS Enrollment IDI20161216002261
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
702 services116 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
141 services135 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
134 services125 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
71 services68 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
67 services66 patients
New patient office or other outpatient visit, 30-44 minutes 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.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41011 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

96.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.34
Improvement Activities40
Cost93.32

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.

Nurse Practitioner (Family)
1401 MADISON AVE
COVINGTON, KY 41011
Nurse Practitioner (Pediatrics)
1401 MADISON AVE
COVINGTON, KY 41011
Social Worker (Clinical)
1401 MADISON AVE
COVINGTON, KY 41011
Nurse Practitioner (Family)
1401 MADISON AVE
COVINGTON, KY 41011
Nurse Practitioner (Psychiatric/Mental Health)
1401 MADISON AVE
COVINGTON, KY 41011
Dentist (General Practice)
1401 MADISON AVE
COVINGTON, KY 41011
Obstetrics & Gynecology
1401 MADISON AVE
COVINGTON, KY 41011
Dentist
1401 MADISON AVE
COVINGTON, KY 41011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639613086, enumerated as an "individual" on December 05, 2016.

The provider is located at 1401 MADISON AVE COVINGTON, KY 41011 and the phone number is (859) 655-6100.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and CareSource. Please consult your insurance carrier or call the provider to verify.