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DR. LILLIAN HETSON MD
NPI 1760041313
Family Medicine in Columbus, OH

Active since June 07, 2019PECOS EnrolledAccepts Medicare Assignment
2231 N HIGH ST, COLUMBUS, OH 43201(614) 293-5123(614) 293-4980 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Mar 25, 2025, Aug 15, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Lillian Hetson Md NPPES

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

DR. LILLIAN HETSON MD (NPI 1760041313) is an individual family medicine provider in Columbus, Ohio, licensed in Ohio (35.144973) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Westerville.

NPPES Registry Identity

NPI1760041313
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LILLIAN HETSONCredential: MD
Location Address2231 N HIGH STColumbus, OH 43201-1115
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7500 · Fax (614) 685-9427
Phone(614) 293-5123
Fax(614) 293-4980
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2019
Enumeration DateJune 7, 2019
Last NPPES UpdateFebruary 3, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1760041313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.144973
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2231 N HIGH ST, Columbus, OH 43201
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Secondary Practice Location 1

Location 16100 N Hamilton RdWesterville, OH 43081-2062 · Phone (614) 293-7500 · Fax (614) 685-9427

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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 and accepts Medicare assignment

Dr. Lillian Hetson 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 ID3870822992
PECOS Enrollment IDI20220907003919
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 5

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.
93 services62 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.
22 services22 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.
21 services18 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43201 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims16 services$5.80 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.

PAIGE LEZON
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (614) 293-2700
LEANNE MERTENS CNP
Nurse Practitioner (Family)
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (215) 301-3801
OHIO STATE UNIVERSITY
Clinic/Center (Primary Care)
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (614) 293-2655
DR. MILISA K RIZER MD MPH
Family Medicine
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (614) 293-2700
DR. JAMES D. COYLE PHARM.D.
Pharmacist
2231 N HIGH ST, RARDIN FAMILY PRACTICE CENTER, RM 244
COLUMBUS, OH 43201
Franklin County (614) 293-2877
LYDIA MARIE KARLSSON MD
Family Medicine
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (614) 293-2700
OHIO STATE UNIVERSITY DEPT. OF FAMILY MEDICINE
Clinic/Center (Primary Care)
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (614) 293-2655
DR. TARUN R MANSUKHANI M.D.
Family Medicine
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (614) 293-2700

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 Lillian Hetson's NPI number?

The NPI number for Lillian Hetson is 1760041313. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Lillian Hetson located?

Lillian Hetson practices at 2231 N High St, Columbus, OH 43201. The listed phone number is (614) 293-5123.

What is Lillian Hetson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lillian Hetson enrolled in Medicare?

Yes. Lillian Hetson 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 Lillian Hetson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Lillian Hetson 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 Lillian Hetson affiliated with any hospitals?

According to CMS data, Lillian Hetson is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Lillian Hetson was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.