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MR. JEFF HILZENDEGER PA-C
NPI 1861536427
Physician Assistant in Bismarck, ND

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
72.34/100
CMS Quality Rating
810 E ROSSER AVE, BISMARCK, ND 58501(701) 223-1967(701) 223-6597 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jeff Hilzendeger Pa-c NPPES

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

MR. JEFF HILZENDEGER PA-C (NPI 1861536427) is an individual physician assistant in Bismarck, North Dakota, licensed in North Dakota (PAC0432) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1861536427
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JEFF HILZENDEGERCredential: PA-C
Location Address810 E ROSSER AVEBismarck, ND 58501-4463
Mailing AddressPo Box 1397, Suite 401Bismarck, ND 58502-1397 · (701) 223-1967 · Fax (701) 223-6597
Phone(701) 223-1967
Fax(701) 223-6597
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 16, 2007
Last NPPES UpdateMarch 22, 2016
✔ NPI 1861536427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ND · PAC0432
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
810 E ROSSER AVE, Bismarck, ND 58501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Mr. Jeff Hilzendeger Pa-c 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 ID6305023995
PECOS Enrollment IDI20110608000193
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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
144 services14 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.
38 services25 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.
20 services19 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
17 services16 patients
X-ray of joints, multiple 77077
An X-ray of multiple joints is a non-invasive imaging test that helps visualize the condition of your joints. This procedure uses a small amount of radiation to produce images of bones and joints, assisting in diagnosing conditions like arthritis or injury.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

72.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.74
Promoting Interoperability82
Improvement Activities40
Cost63.06

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
2%48 patients1/55-star benchmark: 92%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
80%1,160 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
44%25 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%339 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%304 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%339 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%339 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 28 patients
0%28 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
5%339 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 6% · 69 patients
81%69 patients
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.

DAKOTA ENT, PC
Specialist
810 E ROSSER AVE, SUITE 401
BISMARCK, ND 58501
Burleigh County (701) 223-1967
D'ARCY ADAIRE HONEYCUTT M.D.
Surgery (Plastic and Reconstructive Surgery)
810 E ROSSER AVE, SUITE 303
BISMARCK, ND 58501
Burleigh County (701) 530-8450
MONICA MARIE GOETZ DNP
Nurse Practitioner (Family)
810 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 530-3105
DR. RICHARD J HIEB DDS
Dentist (General Practice)
810 E ROSSER AVE, STE 404
BISMARCK, ND 58501
Burleigh County (701) 222-0033
KYLEE AMBER EICHMANN
Nurse Practitioner (Family)
810 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 530-3142
ADVANCED SURGICAL ARTS CENTER, PC
Clinic/Center (Medical Specialty)
810 E ROSSER AVE, SUITE 303
BISMARCK, ND 58501
Burleigh County (701) 530-8450
DR. ARLISS L BREND DDS
Dentist
810 E ROSSER AVE, SUITE 405
BISMARCK, ND 58501
Burleigh County (701) 222-4111
RICHARD J HIEB DDS PC
Dentist (General Practice)
810 E ROSSER AVE, STE 404
BISMARCK, ND 58501
Burleigh County (701) 222-0033

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 Jeff Hilzendeger's NPI number?

The NPI number for Jeff Hilzendeger is 1861536427. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Jeff Hilzendeger located?

Jeff Hilzendeger practices at 810 E Rosser Ave, Bismarck, ND 58501. The listed phone number is (701) 223-1967.

What is Jeff Hilzendeger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jeff Hilzendeger enrolled in Medicare?

Yes. Jeff Hilzendeger 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 Jeff Hilzendeger accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Jeff Hilzendeger 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 Jeff Hilzendeger affiliated with any hospitals?

According to CMS data, Jeff Hilzendeger is affiliated with Chi St Alexius Health.

When was this NPI record last updated?

The NPPES record for Jeff Hilzendeger was last updated on March 22, 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.