MARIA M HILTON CNP
NPI 1639770035
Nurse Practitioner - Family in Sharonville, OH

Q: What is Maria Hilton's NPI number?

The NPI number for Maria Hilton is 1639770035. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Q: What is Maria Hilton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Hilton was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 03, 2020PECOS Enrolled

52.89/100

CMS Quality Rating

12110 LEBANON RD, SHARONVILLE, OH 45241(513) 853-9700(513) 852-8970 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Aug 14, 2022, Aug 4, 2022 and 1 more (4 updates tracked since 2020).

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About Maria M Hilton Cnp NPPES

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

MARIA M HILTON CNP (NPI 1639770035) is an individual family provider in Sharonville, Ohio, licensed in Ohio (APRN.CNP.0031223) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Blue Ash.

NPPES Registry Identity

NPI1639770035

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIA M HILTONCredential: CNP

Location Address12110 LEBANON RDSharonville, OH 45241-1739

Mailing Address12110 Lebanon RdSharonville, OH 45241-1739 · (513) 853-9700 · Fax (513) 852-8970

Phone(513) 853-9700

Fax(513) 852-8970

Sole ProprietorYes

Enumeration DateNovember 3, 2020

Last NPPES UpdateApril 3, 20244 updates tracked since enumeration

NPPES CertifiedApril 3, 2024

✔ NPI 1639770035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.0031223

Also ListedRegistered NurseTaxonomy 163W00000X · License 436583 (OH)

12110 LEBANON RD, Sharonville, OH 45241

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Secondary Practice Location 1

Location 110250 Alliance Rd Unit 103Blue Ash, OH 45242-4755 · Phone (888) 908-0553

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria M Hilton Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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 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.

26 services26 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.

19 services19 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45241 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

52.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

45.53

Improvement Activities

Cost

23.24

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Other Providers at the Same Location NPPES 11

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

TONAE BODDIE

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