DR. CLARKE A HILBIG M.D.
NPI 1861404758
Internal Medicine - Gastroenterology in Provo, UT

Q: What is Clarke Hilbig's NPI number?

The NPI number for Clarke Hilbig is 1861404758. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Clarke Hilbig's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clarke Hilbig was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment

1055 N 500 W, STE 100, BLDG B, PROVO, UT 84604(801) 374-1268(801) 418-0941 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2024, Aug 12, 2024, Jul 3, 2023 and 3 more (6 updates tracked since 2017).

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About Dr. Clarke A Hilbig M.d. NPPES

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

DR. CLARKE A HILBIG M.D. (NPI 1861404758) is an individual gastroenterology provider in Provo, Utah, licensed in Utah (5624534-1205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of Hahnemann University College Of Medicine (1998).

NPPES Registry Identity

NPI1861404758

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. CLARKE A HILBIGCredential: M.D.

Location Address1055 N 500 W, STE 100, BLDG BProvo, UT 84604

Mailing Address1055 N 500 W, Attn CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941

Phone(801) 374-1268

Fax(801) 418-0941

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1998

Enumeration DateAugust 12, 2006

Last NPPES UpdateSeptember 16, 20246 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1861404758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in UT · 5624534-1205

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.

1055 N 500 W, Provo, UT 84604

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Other Identifiers 1

Medicaid1025919UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare 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. Clarke A Hilbig M.d. 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 ID648255968

PECOS Enrollment IDI20040621001995

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 8

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.

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.

56 services55 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.

43 services43 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.

43 services36 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.

31 services27 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.

20 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460001

Location1034 North 500 WestProvo, UT 84604 · Utah County

Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460023

Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County

Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460052

Location750 West 800 NorthOrem, UT 84057 · Utah County

Emergency services Birthing friendly

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460062

Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

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.

ASHLEY SAUNDERS

Family Medicine

1055 N 500 W
PROVO, UT 84604

Utah County (801) 812-5033

CRYSTAL C HUFFAKER FNP

Nurse Practitioner (Family)

1055 N 500 W, STE 211, BUILDING C
PROVO, UT 84604

Utah County (801) 357-7327

SCOTT DELAFIELD EVANS MD

Orthopaedic Surgery (Hand Surgery)

1055 N 500 W, STE 121, BUILDING C
PROVO, UT 84604

Utah County (801) 373-7350

EVAN SCOTT NIELSEN MD

Orthopaedic Surgery

1055 N 500 W, STE 121
PROVO, UT 84604

Utah County (801) 373-7350

ROSANNE JOHNSON OLIVER FNP

Nurse Practitioner (Family)

1055 N 500 W, STE 205
PROVO, UT 84604

Utah County (801) 429-8095

LESLEE RONALD ADAMS NP

Nurse Practitioner (Family)

1055 N 500 W, STE 211
PROVO, UT 84604

Utah County (801) 357-7327

WYATT JAMES BOLES DO

Family Medicine

1055 N 500 W, BLDG A
PROVO, UT 84604

Utah County (801) 812-5033

DR. REX F RIPPLINGER MD

Internal Medicine

1055 N 500 W
PROVO, UT 84604

Utah County (801) 429-8000

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 Clarke Hilbig's NPI number?

The NPI number for Clarke Hilbig is 1861404758. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Clarke Hilbig located?

Clarke Hilbig practices at 1055 N 500 W Ste 100, Bldg B, Provo, UT 84604. The listed phone number is (801) 374-1268.

What is Clarke Hilbig's specialty?

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

Is Clarke Hilbig enrolled in Medicare?

Yes. Clarke Hilbig 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 Clarke Hilbig accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Clarke Hilbig 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 Clarke Hilbig affiliated with any hospitals?

According to CMS data, Clarke Hilbig is affiliated with Utah Valley Hospital, American Fork Hospital, Timpanogos Regional Hospital and Spanish Fork Hospital.

When was this NPI record last updated?

The NPPES record for Clarke Hilbig was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.