RAYMOND C HILU MD
NPI 1689667453
Internal Medicine in Grosse Pointe Woods, MI

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
83.35/100
CMS Quality Rating
19251 MACK AVE, GROSSE POINTE WOODS, MI 48236(313) 343-7280(313) 343-7921 Get Directions Write a Review

NPPES record last updated: December 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raymond C Hilu Md NPPES

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

RAYMOND C HILU MD (NPI 1689667453) is an individual internal medicine provider in Grosse Pointe Woods, Michigan, licensed in Michigan (4301059306) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Wayne State University School Of Medicine (1992).

NPPES Registry Identity

NPI1689667453
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAYMOND C HILUCredential: MD
Location Address19251 MACK AVEGrosse Pointe Woods, MI 48236-2893
Mailing Address43800 Garfield RdClinton Township, MI 48038-1136 · (313) 343-7280 · Fax (313) 343-7921
Fax(313) 343-7921
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1992
Enumeration DateAugust 26, 2005
Last NPPES UpdateDecember 29, 2008
NPI 1689667453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301059306
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
19251 MACK AVE, Grosse Pointe Woods, MI 48236

Other Identifiers 3

Medicare ID-Type UnspecifiedM71670076
Medicare UPING16672
Medicaid3198945MI

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

Raymond C Hilu Md 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 ID8527103217
PECOS Enrollment IDI20100305000391
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.
104 services31 patients
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.
45 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.06
Promoting Interoperability100
Improvement Activities40
Cost60.61

Reported Quality Measures

Breast Cancer Screening
76%98 patients4/55-star benchmark: 93%
Cervical Cancer Screening
62%119 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
58%227 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
75%251 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
30%81 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
28%81 patients4/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
95%360 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
35%246 patients3/55-star benchmark: 61%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$43.84 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims1,858 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$215.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Technician/Technologist
19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
Technician/Technologist
19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
Internal Medicine (Infectious Disease)
19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
Behavior Technician
19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
Technician/Technologist
19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
Behavior Technician
19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
Behavior Technician
19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
Behavior Technician
19251 MACK AVE
GROSSE POINTE WOODS, MI 48236

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 Raymond Hilu's NPI number?

The NPI number for Raymond Hilu is 1689667453. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Raymond Hilu located?

Raymond Hilu practices at 19251 Mack Ave, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 343-7280.

What is Raymond Hilu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raymond Hilu enrolled in Medicare?

Yes. Raymond Hilu 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 Raymond Hilu accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Raymond Hilu 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 Raymond Hilu affiliated with any hospitals?

According to CMS data, Raymond Hilu is affiliated with Henry Ford Health Hospital and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Raymond Hilu was last updated on December 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.