DAVID HILBURN
NPI 1740674779
Hospitalist in Winfield, IL

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
25 N WINFIELD RD, WINFIELD, IL 60190(630) 933-4700 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Hilburn NPPES

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

DAVID HILBURN (NPI 1740674779) is an individual hospitalist provider in Winfield, Illinois, licensed in Illinois (036145408) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains a secondary practice location in Geneva.

NPPES Registry Identity

NPI1740674779
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDAVID HILBURN
Location Address25 N WINFIELD RDWinfield, IL 60190
Mailing Address25 N Winfield RdWinfield, IL 60190-1295 · (630) 933-4700
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2014
Enumeration DateMarch 27, 2015
Last NPPES UpdateJuly 17, 2018
NPI 1740674779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036145408
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125066224 (IL)
25 N WINFIELD RD, Winfield, IL 60190

Secondary Practice Location 1

Location 1300 Randall RdGeneva, IL 60134-4220 · Phone (630) 933-4700

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

David Hilburn 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 ID9638470594
PECOS Enrollment IDI20180612002673
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 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.
489 services210 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.
140 services135 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.
80 services79 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60190 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$29.65 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier14 claims14 services$8.39 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.

Surgery (Vascular Surgery)
25 N WINFIELD RD, SUITE 201
WINFIELD, IL 60190
Nurse Practitioner
25 N WINFIELD RD
WINFIELD, IL 60190
Speech-Language Pathologist
25 N WINFIELD RD
WINFIELD, IL 60190
Internal Medicine (Pulmonary Disease)
25 N WINFIELD RD
WINFIELD, IL 60190
Obstetrics & Gynecology
25 N WINFIELD RD
WINFIELD, IL 60190
Anesthesiology
25 N WINFIELD RD
WINFIELD, IL 60190
Otolaryngology
25 N WINFIELD RD
WINFIELD, IL 60190
Nurse Practitioner (Family)
25 N WINFIELD RD
WINFIELD, IL 60190

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 David Hilburn's NPI number?

The NPI number for David Hilburn is 1740674779. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is David Hilburn located?

David Hilburn practices at 25 N Winfield Rd, Winfield, IL 60190. The listed phone number is (630) 933-4700.

What is David Hilburn's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is David Hilburn enrolled in Medicare?

Yes. David Hilburn 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.

Is David Hilburn affiliated with any hospitals?

According to CMS data, David Hilburn is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for David Hilburn was last updated on July 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.