DR. STEFFEN HILLEMANN MD
NPI 1821056912
Internal Medicine - Cardiovascular Disease in South Burlington, VT

Active since May 01, 2006PECOS Enrolled
93.43/100
CMS Quality Rating
364 DORSET ST, SUITE 1, SOUTH BURLINGTON, VT 05403(802) 862-6312(802) 658-3984 Get Directions Write a Review

NPPES record last updated: September 24, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Steffen Hillemann Md NPPES

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

DR. STEFFEN HILLEMANN MD (NPI 1821056912) is an individual cardiovascular disease provider in South Burlington, Vermont, licensed in Vermont (042-0009918) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1821056912
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. STEFFEN HILLEMANNCredential: MD
Location Address364 DORSET ST, SUITE 1South Burlington, VT 05403-6270
Mailing Address50 Timber LnSouth Burlington, VT 05403-7204 · (802) 862-6312 · Fax (802) 658-3984
Fax(802) 658-3984
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 1, 2006
Last NPPES UpdateSeptember 24, 2011
✔ NPI 1821056912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in VT · 042-0009918
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSpecialistTaxonomy 174400000X · License 042-0009918 (VT)
364 DORSET ST, South Burlington, VT 05403

Other Identifiers 5

OtherP00057516VT · Rr Medicare
Medicaid02421598NY
Medicaid1009847VT
Medicare UPINH91595VT
Medicare PINVN324002VT

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Steffen Hillemann Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688588973
PECOS Enrollment IDI20031119000736
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 Reassignments

3

Medicare enrollment records show Steffen Hillemann reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
50 TIMBER LN
S Burlington, VT 05403
  • Reassigned Medicare billing, Vermont enrollment
  • 3 clinicians in this Medicare group
Critical Access
528 WASHINGTON HIGHWAY
Morrisville, VT 05661
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1295774842 (Vermont)
  • 88 clinicians in this Medicare group
Family Medicine
82 CATAMOUNT PARK
Middlebury, VT 05753
  • Reassigned Medicare billing, Vermont enrollment
  • 366 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.

Areas of Expertise CMS Part B claims 24

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
609 services419 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.
500 services347 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
214 services213 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
159 services66 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
84 services82 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.
58 services57 patients

Hospital Affiliations CMS Care Compare 5

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

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470005
Location160 Allen StRutland, VT 05701 · Rutland County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Copley Hospital

Critical Access Hospitals · Morrisville, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471305
Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
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.

93.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability89
Improvement Activities40
Cost87.27

Reported Quality Measures

Advance Care Plan
78%792 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
79%433 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
89%324 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
93%42 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
94%1,479 patients4/55-star benchmark: 100%
e-Prescribing
99%310 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
45%961 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%662 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 77% · 317 patients
76%317 patients
Provide Patients Electronic Access to Their Health Information
68%353 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
92%483 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 750 patients
Patients totalRate: 0% · 750 patients
0%750 patients5/55-star benchmark: 100%
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.

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.

Counselor (Mental Health)
364 DORSET ST, 204
SOUTH BURLINGTON, VT 05403
Dermatology
364 DORSET ST, SUITE 204
SOUTH BURLINGTON, VT 05403
Internal Medicine (Cardiovascular Disease)
364 DORSET ST, SUITE 1
SOUTH BURLINGTON, VT 05403
Internal Medicine (Cardiovascular Disease)
364 DORSET ST, SUITE 1
SOUTH BURLINGTON, VT 05403
Psychologist (Clinical)
364 DORSET ST, SUITE 212
SOUTH BURLINGTON, VT 05403
Counselor (Mental Health)
364 DORSET ST, SUITE 204
SOUTH BURLINGTON, VT 05403
Social Worker (Clinical)
364 DORSET ST, SUITE 204
SOUTH BURLINGTON, VT 05403
Physician Assistant
364 DORSET ST, STE 2
SOUTH BURLINGTON, VT 05403

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 Steffen Hillemann's NPI number?

The NPI number for Steffen Hillemann is 1821056912. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Steffen Hillemann located?

Steffen Hillemann practices at 364 Dorset St Suite 1, South Burlington, VT 05403. The listed phone number is (802) 862-6312.

What is Steffen Hillemann's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Steffen Hillemann enrolled in Medicare?

Yes. Steffen Hillemann is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Steffen Hillemann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steffen Hillemann reassigns Medicare benefits to 3 organizations: Hillemann & Kirwan Mds PC (S Burlington, VT), Copley Hospital, Inc. (Morrisville, VT) and Porter Hospital, Inc (Middlebury, VT). Each 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 Steffen Hillemann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steffen Hillemann accept?

Health plans from Anthem Blue Cross and Blue Shield list Steffen Hillemann 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 Steffen Hillemann affiliated with any hospitals?

According to CMS data, Steffen Hillemann is affiliated with Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care, Rutland Regional Medical Center, Northwestern Medical Center Inc and Copley Hospital.

When was this NPI record last updated?

The NPPES record for Steffen Hillemann was last updated on September 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.