FRANCESCA A HILMI DO
NPI 1891774998
Family Medicine in Kingston, NY

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
36.12/100
CMS Quality Rating
117 MARYS AVE, SUITE 101, KINGSTON, NY 12401(845) 339-1515 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Francesca A Hilmi Do NPPES

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

FRANCESCA A HILMI DO (NPI 1891774998) is an individual family medicine provider in Kingston, New York, licensed in New York (196259) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1992).

NPPES Registry Identity

NPI1891774998
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameFRANCESCA A HILMICredential: DO
Location Address117 MARYS AVE, SUITE 101Kingston, NY 12401-5849
Mailing Address117 Marys Ave, Suite 101Kingston, NY 12401-5849 · (845) 339-1515
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1992
Enumeration DateJanuary 17, 2006
Last NPPES UpdateOctober 1, 2014
NPI 1891774998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 196259
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
117 MARYS AVE, Kingston, NY 12401

Other Identifiers 3

Medicare UPING08529NY
Medicaid01832342NY
Medicare ID-Type Unspecified242291NY

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

Francesca A Hilmi Do 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 ID8325022767
PECOS Enrollment IDI20040615000764
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 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.

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.
1,557 services585 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
473 services364 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
358 services358 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
336 services336 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
308 services308 patients
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.
281 services265 patients

Hospital Affiliations CMS Care Compare 2

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330224
Location105 Mary's AvenueKingston, NY 12401 · Ulster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12401 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

36.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.77
Improvement Activities0
Cost46.03

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,281 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
18%66 patients1/55-star benchmark: 96%
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.
22%106 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.
60%1,119 patients3/55-star benchmark: 99%
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…
94%188 patients4/55-star benchmark: 100%
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…
85%1,119 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…
24%1,119 patients2/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers29 claims84 services$6.06 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims195 services$3.28 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims5,400 services$1.09 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$921.50 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$5.47 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers28 claims28 services$28.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Surgery
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Plastic Surgery
117 MARYS AVE, SUITE 204
KINGSTON, NY 12401
Surgery (Vascular Surgery)
117 MARYS AVE, SUITE 202
KINGSTON, NY 12401
Surgery (Trauma Surgery)
117 MARYS AVE
KINGSTON, NY 12401
Dentist (Oral and Maxillofacial Surgery)
117 MARYS AVE, 104
KINGSTON, NY 12401
Surgery (Vascular Surgery)
117 MARYS AVE, SUITE 201
KINGSTON, NY 12401
Nurse Practitioner
117 MARYS AVE, STE 201
KINGSTON, NY 12401

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 Francesca Hilmi's NPI number?

The NPI number for Francesca Hilmi is 1891774998. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Francesca Hilmi located?

Francesca Hilmi practices at 117 Marys Ave Suite 101, Kingston, NY 12401. The listed phone number is (845) 339-1515.

What is Francesca Hilmi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Francesca Hilmi enrolled in Medicare?

Yes. Francesca Hilmi 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.

Is Francesca Hilmi affiliated with any hospitals?

According to CMS data, Francesca Hilmi is affiliated with Vassar Brothers Medical Center and Healthalliance Hospital Marys Avenue Campus.

When was this NPI record last updated?

The NPPES record for Francesca Hilmi was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.