LARRY S HILTON APN
NPI 1720153224
Nurse Practitioner - Women's Health in Tyler, TX

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
928 N GLENWOOD BLVD, TYLER, TX 75702(903) 535-9041 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2024, Sep 21, 2022, Aug 23, 2022 and 8 more (11 updates tracked since 2016).

About Larry S Hilton Apn NPPES

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

LARRY S HILTON APN (NPI 1720153224) is an individual women's health provider in Tyler, Texas, licensed in Texas (AP119371) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1720153224
Entity TypeIndividualMale
Primary Taxonomy363LW0102X
Provider Legal NameLARRY S HILTONCredential: APN
Location Address928 N GLENWOOD BLVDTyler, TX 75702-5055
Mailing Address523 S Fannin AveTyler, TX 75702-8204 · (903) 535-9041
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 21, 2006
Last NPPES UpdateNovember 21, 202411 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1720153224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in TX · AP119371
928 N GLENWOOD BLVD, Tyler, TX 75702

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Larry S Hilton Apn 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 ID4385643543
PECOS Enrollment IDI20140707000636
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.

Medicare Billing Reassignment

Medicare enrollment records show Larry Hilton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
13172 STATE HIGHWAY 64 E
Tyler, TX 75707
  • Reassigned Medicare billing, Texas enrollment
  • 64 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 18

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

Obstetrics & Gynecology
928 N GLENWOOD BLVD
TYLER, TX 75702
Obstetrics & Gynecology
928 N GLENWOOD BLVD
TYLER, TX 75702
Obstetrics & Gynecology (Obstetrics)
928 N GLENWOOD BLVD, SUITE 415
TYLER, TX 75702
Clinic/Center (Federally Qualified Health Center (FQHC))
928 N GLENWOOD BLVD
TYLER, TX 75702
Nurse Practitioner (Women's Health)
928 N GLENWOOD BLVD
TYLER, TX 75702
Clinic/Center (Federally Qualified Health Center (FQHC))
928 N GLENWOOD BLVD
TYLER, TX 75702
Clinic/Center (Federally Qualified Health Center (FQHC))
928 N GLENWOOD BLVD
TYLER, TX 75702
Advanced Practice Midwife
928 N GLENWOOD BLVD
TYLER, TX 75702

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 Larry Hilton's NPI number?

The NPI number for Larry Hilton is 1720153224. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Larry Hilton located?

Larry Hilton practices at 928 N Glenwood Blvd, Tyler, TX 75702. The listed phone number is (903) 535-9041.

What is Larry Hilton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Larry Hilton enrolled in Medicare?

Yes. Larry Hilton 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.

Which organization bills Medicare for Larry Hilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Hilton reassigns Medicare benefits to Tyler Family Circle Of Care (Tyler, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Larry Hilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larry Hilton accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Larry Hilton 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 Larry Hilton was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.