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DR. TAMMY L. HILBERT M.D.
NPI 1669477691
Obstetrics & Gynecology in Raleigh, NC

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
91.1/100
CMS Quality Rating
10941 RAVEN RIDGE RD, SUITE 109, RALEIGH, NC 27614(919) 847-7475 Get Directions Write a Review

NPPES record last updated: September 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tammy L. Hilbert M.d. NPPES

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

DR. TAMMY L. HILBERT M.D. (NPI 1669477691) is an individual obstetrics & gynecology provider in Raleigh, North Carolina, licensed in Wisconsin (45572) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of University Of Cincinnati College Of Medicine (1999).

NPPES Registry Identity

NPI1669477691
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. TAMMY L. HILBERTCredential: M.D.
Location Address10941 RAVEN RIDGE RD, SUITE 109Raleigh, NC 27614-6487
Mailing Address10941 Raven Ridge Rd, Suite 109Raleigh, NC 27614-6487 · (919) 847-7475
Phone(919) 847-7475
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1999
Enumeration DateJune 16, 2005
Last NPPES UpdateSeptember 24, 2009
✔ NPI 1669477691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 45572
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10941 RAVEN RIDGE RD, Raleigh, NC 27614
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Other Identifiers 4

Medicaid34390700WI
Medicare UPINH87992WI
Medicare ID-Type Unspecified000571525WI
Medicare ID-Type Unspecified000445185WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Dr. Tammy L. Hilbert 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 ID6709891799
PECOS Enrollment IDI20060725000288
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.

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.
29 services26 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.
24 services22 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
24 services24 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27614 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

91.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.09
Promoting Interoperability100
Improvement Activities40
Cost80.24

Other Providers at the Same Location NPPES 16

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

BOBBIE JO PETERSON NP
Nurse Practitioner (Family)
10941 RAVEN RIDGE RD, SUITE 103
RALEIGH, NC 27614
Wake County (919) 256-0900
DR. LISA MARIE ROBERTS M.D.
Obstetrics & Gynecology (Gynecology)
10941 RAVEN RIDGE RD, SUITE 109
RALEIGH, NC 27614
Wake County (919) 847-7475
HEREDITARY CARE CENTER
Clinic/Center (Genetics)
10941 RAVEN RIDGE RD, SUITE 107
RALEIGH, NC 27614
Wake County (919) 256-2526
KAREN A BURKE-HAYNES MD
Pediatrics
10941 RAVEN RIDGE RD, STE 105
RALEIGH, NC 27614
Wake County (919) 235-0543
STEPPING STONES PEDIATRICS, PLLC
Clinic/Center (Primary Care)
10941 RAVEN RIDGE RD, SUITE 105
RALEIGH, NC 27614
Wake County (919) 235-0543
MICHAEL LAW MD PA
Specialist
10941 RAVEN RIDGE RD, SUITE 103
RALEIGH, NC 27614
Wake County (919) 256-0900
ALYSSA JOAN HOFFMANN PNP
Nurse Practitioner (Pediatrics)
10941 RAVEN RIDGE RD, SUITE 105
RALEIGH, NC 27614
Wake County (919) 235-0543
RALEIGH DURHAM MEDICAL GROUP, PA
Pediatrics
10941 RAVEN RIDGE RD, STE 105
RALEIGH, NC 27614
Wake County (919) 235-0543

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 Tammy Hilbert's NPI number?

The NPI number for Tammy Hilbert is 1669477691. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Tammy Hilbert located?

Tammy Hilbert practices at 10941 Raven Ridge Rd Suite 109, Raleigh, NC 27614. The listed phone number is (919) 847-7475.

What is Tammy Hilbert's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tammy Hilbert enrolled in Medicare?

Yes. Tammy Hilbert 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 Tammy Hilbert accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Tammy Hilbert 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 Tammy Hilbert affiliated with any hospitals?

According to CMS data, Tammy Hilbert is affiliated with Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Tammy Hilbert was last updated on September 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.