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DR. ADAM HILTON D.O.
NPI 1851734321
Emergency Medicine in Orlando, FL

Active since April 15, 2013PECOS Enrolled
86.28/100
CMS Quality Rating
1720 COOK AVE, ORLANDO, FL 32806(321) 841-2605(407) 426-7443 Get Directions Write a Review

NPPES record last updated: June 18, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Adam Hilton D.o. NPPES

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

DR. ADAM HILTON D.O. (NPI 1851734321) is an individual emergency medicine provider in Orlando, Florida, licensed in Florida (OS13613) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851734321
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ADAM HILTONCredential: D.O.
Location Address1720 COOK AVEOrlando, FL 32806-2912
Mailing Address1720 Cook AveOrlando, FL 32806-2912 · (321) 841-2605 · Fax (407) 426-7443
Phone(321) 841-2605
Fax(407) 426-7443
Sole ProprietorNo
Enumeration DateApril 15, 2013
Last NPPES UpdateJune 18, 2016
✔ NPI 1851734321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · OS13613
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1720 COOK AVE, Orlando, FL 32806
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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. Adam Hilton D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Adam Hilton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Physicians Of Central Florida LLP
0.3 mi
Emergency Medicine
1414 S ORANGE AVE, MP 156
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 347 clinicians in this Medicare group
NPI 1326033341 (407) 841-5111
Emergency Medical Specialists Of Jacksonville
124 mi
Emergency Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 78 clinicians in this Medicare group
NPI 1295738367 (904) 308-7300

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
295 services284 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.
194 services184 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
64 services62 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. NEAL MOHEN MANGALAT MD
Emergency Medicine
1720 COOK AVE
ORLANDO, FL 32806
Orange County (321) 841-2605
DR. STEVEN RITCHEY ARAYA M.D.
Emergency Medicine
1720 COOK AVE
ORLANDO, FL 32806
Orange County (321) 841-5236
ASHLEY N WILLIAMS FNP
Nurse Practitioner (Family)
1720 COOK AVE, EMERGENCY PHYSICIANS OF CENTRAL FLORIDA
ORLANDO, FL 32806
Orange County (321) 841-5236
JOSEF GEORGE THUNDIYIL MD
Emergency Medicine (Medical Toxicology)
1720 COOK AVE
ORLANDO, FL 32806
Orange County (321) 841-2605

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 Adam Hilton's NPI number?

The NPI number for Adam Hilton is 1851734321. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Where is Adam Hilton located?

Adam Hilton practices at 1720 Cook Ave, Orlando, FL 32806. The listed phone number is (321) 841-2605.

What is Adam Hilton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Adam Hilton enrolled in Medicare?

Yes. Adam Hilton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adam Hilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Hilton reassigns Medicare benefits to 2 organizations: Emergency Physicians Of Central Florida LLP (Orlando, FL) and Emergency Medical Specialists Of Jacksonville (Jacksonville, FL). 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 Adam Hilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Hilton accept?

Health plans from WellSense Health Plan list Adam 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 Adam Hilton was last updated on June 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.