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BRIAN STEPHEN HILLIARD M.D.
NPI 1659715613
Pediatrics in St. Paul, MN

Active since April 22, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2500 COMO AVENUE, ST. PAUL, MN 55108(952) 853-8800(651) 641-6205 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2020, Jan 29, 2016 (2 updates tracked since 2016).

About Brian Stephen Hilliard M.d. NPPES

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

BRIAN STEPHEN HILLIARD M.D. (NPI 1659715613) is an individual pediatrics provider in St. Paul, Minnesota, licensed in Minnesota (59426) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Missouri, Columbia School Of Medicine (2013).

NPPES Registry Identity

NPI1659715613
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBRIAN STEPHEN HILLIARDCredential: M.D.
Location Address2500 COMO AVENUESt. Paul, MN 55108-1460
Mailing AddressPo Box 1309 8170 33rd Ave S, Mail Stop 21110qMinneapolis, MN 55425-4516 · (952) 853-8800 · Fax (651) 641-6205
Phone(952) 853-8800
Fax(651) 641-6205
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2013
Enumeration DateApril 22, 2013
Last NPPES UpdateApril 14, 20202 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1659715613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 59426
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2500 COMO AVENUE, St. Paul, MN 55108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Brian Stephen Hilliard 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 ID2466755483
PECOS Enrollment IDI20160126001690
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
89 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55108 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

Other Providers at the Same Location NPPES 12

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

DIANE CROSS NP
Nurse Practitioner
2500 COMO AVENUE, MAIL STOP 31100A
ST PAUL, MN 55108
Ramsey County (651) 641-6200
RAE ANN WILLIAMS MD
Internal Medicine
2500 COMO AVENUE, MAIL STOP 31100A
ST PAUL, MN 55108
Ramsey County (651) 641-6200
BRENDA LOUISE WILCOX ABRAHAM MD
Family Medicine (Sports Medicine)
2500 COMO AVENUE
ST PAUL, MN 55108
Ramsey County (651) 641-6200
SYLVIA M SEKHON MD
Pediatrics
2500 COMO AVENUE, MAIL STOP 31100A
ST PAUL, MN 55108
Ramsey County (651) 641-6200
DR. BRYAN S MICHALOWICZ DDS, MS
Dentist (Periodontics)
2500 COMO AVENUE
ST. PAUL, MN 55108
Ramsey County (651) 429-2299
DR. PAULOSE S JOHN M.D
Family Medicine
2500 COMO AVENUE, MS31100A HEALTHPARTNERS COMO CLINIC
ST PAUL, MN 55108
Ramsey County (651) 641-6200
DR. POORNIMA K KAVATHEKAR M.D.
Pediatrics
2500 COMO AVENUE, MAIL STOP 31100A - HEALTHPARTNERS COMO CLINIC
ST PAUL, MN 55108
Ramsey County (651) 641-6200
PHILIP A GASSELING MD
Pediatrics
2500 COMO AVENUE
ST. PAUL, MN 55108
Ramsey County (952) 853-8800

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 Brian Hilliard's NPI number?

The NPI number for Brian Hilliard is 1659715613. It was assigned to this individual provider in the NPPES registry on April 22, 2013.

Where is Brian Hilliard located?

Brian Hilliard practices at 2500 Como Avenue, St. Paul, MN 55108. The listed phone number is (952) 853-8800.

What is Brian Hilliard's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brian Hilliard enrolled in Medicare?

Yes. Brian Hilliard 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 Brian Hilliard accept?

Health plans from Medica and Sanford Health Plan list Brian Hilliard 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 Brian Hilliard affiliated with any hospitals?

According to CMS data, Brian Hilliard is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Brian Hilliard was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.