DR. MATTHEW JAMES HILLAM D.O.
NPI 1780061911
Internal Medicine - Gastroenterology in Spokane, WA

Active since April 27, 2015PECOS EnrolledAccepts Medicare Assignment
77.24/100
CMS Quality Rating
105 W 8TH AVE STE 6010, SPOKANE, WA 99204(509) 838-5950 Get Directions Write a Review

NPPES record last updated: July 3, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 3, 2021, Jul 12, 2018, Feb 16, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Matthew James Hillam D.o. NPPES

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

DR. MATTHEW JAMES HILLAM D.O. (NPI 1780061911) is an individual gastroenterology provider in Spokane, Washington, licensed in Washington (OP61113295) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780061911
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MATTHEW JAMES HILLAMCredential: D.O.
Location Address105 W 8TH AVE STE 6010Spokane, WA 99204-2341
Mailing Address105 W 8th Ave Ste 6010Spokane, WA 99204-2341
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 27, 2015
Last NPPES UpdateJuly 3, 20214 updates tracked since enumeration
NPPES CertifiedJuly 3, 2021
✔ NPI 1780061911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WA · OP61113295
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 34.012566 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R2997 (AZ)
105 W 8TH AVE STE 6010, Spokane, WA 99204

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

Dr. Matthew James Hillam D.o. 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 ID2163713348
PECOS Enrollment IDI20210729003739
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 7

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
123 services123 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
82 services82 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
56 services55 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
35 services34 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
33 services32 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

77.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.8
Promoting Interoperability81
Improvement Activities40
Cost59.17

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Gerontology)
105 W 8TH AVE STE 6010
SPOKANE, WA 99204
Nurse Practitioner (Family)
105 W 8TH AVE STE 6010
SPOKANE, WA 99204
Internal Medicine (Gastroenterology)
105 W 8TH AVE STE 6010
SPOKANE, WA 99204
Nurse Practitioner
105 W 8TH AVE STE 6010
SPOKANE, WA 99204
Internal Medicine
105 W 8TH AVE STE 6010
SPOKANE, WA 99204
Physician Assistant
105 W 8TH AVE STE 6010
SPOKANE, WA 99204
Physician Assistant
105 W 8TH AVE STE 6010
SPOKANE, WA 99204
Internal Medicine
105 W 8TH AVE STE 6010
SPOKANE, WA 99204

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 Matthew Hillam's NPI number?

The NPI number for Matthew Hillam is 1780061911. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Where is Matthew Hillam located?

Matthew Hillam practices at 105 W 8th Ave Ste 6010, Spokane, WA 99204. The listed phone number is (509) 838-5950.

What is Matthew Hillam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Matthew Hillam enrolled in Medicare?

Yes. Matthew Hillam 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 Matthew Hillam accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Matthew Hillam 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 Matthew Hillam affiliated with any hospitals?

According to CMS data, Matthew Hillam is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp..

When was this NPI record last updated?

The NPPES record for Matthew Hillam was last updated on July 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.