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DR. TERRY HILMES OD
NPI 1669441119
Optometrist in Topeka, KS

Active since March 16, 2006PECOS Enrolled
2008 SW GAGE BLVD, TOPEKA, KS 66604(785) 354-8383(785) 354-8386 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Terry Hilmes Od NPPES

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

DR. TERRY HILMES OD (NPI 1669441119) is an individual optometrist in Topeka, Kansas, licensed in Kansas (1482) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669441119
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TERRY HILMESCredential: OD
Location Address2008 SW GAGE BLVDTopeka, KS 66604-3340
Mailing AddressPo Box 4365Topeka, KS 66604-0365 · (785) 354-8383 · Fax (785) 354-8386
Phone(785) 354-8383
Fax(785) 354-8386
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateDecember 9, 2011
✔ NPI 1669441119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KS · 1482
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2008 SW GAGE BLVD, Topeka, KS 66604
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Other Identifiers 5

Medicare NSC4183660002KS
Other37778013KS · Bcbs Of Kansas City
Medicare ID-Type Unspecified650734KS
OtherRL17001KS · Spectera
Medicare UPINU63376KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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)

Dr. Terry Hilmes Od 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 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.
156 services145 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.
97 services90 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66604 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
80%25 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%284 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
21%884 patients1/55-star benchmark: 99%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 69% · 72 patients
78%72 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%884 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%884 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DR. JASON MANES OD
Optometrist
2008 SW GAGE BLVD
TOPEKA, KS 66604
Shawnee County (785) 354-8383
MR. JAMES BURNARD MCDANIEL O.D.
Optometrist
2008 SW GAGE BLVD
TOPEKA, KS 66604
Shawnee County (785) 354-8383
DR. ROBERT KEVIN LENAHAN OD
Optometrist
2008 SW GAGE BLVD
TOPEKA, KS 66604
Shawnee County (785) 354-8383
KYLE A. WEEDEN OD
Optometrist
2008 SW GAGE BLVD
TOPEKA, KS 66604
Shawnee County (785) 354-8383

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 Terry Hilmes's NPI number?

The NPI number for Terry Hilmes is 1669441119. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Terry Hilmes located?

Terry Hilmes practices at 2008 SW Gage Blvd, Topeka, KS 66604. The listed phone number is (785) 354-8383.

What is Terry Hilmes's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Terry Hilmes enrolled in Medicare?

Yes. Terry Hilmes is registered in the Medicare PECOS enrollment system.

What insurance does Terry Hilmes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 9 other insurers list Terry Hilmes 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 Terry Hilmes was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.