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DR. KENNETH HILSBOS M.D.
NPI 1912922980
Family Medicine in Fairmont, WV

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
5 ERWIN LN STE B, FAIRMONT, WV 26554(304) 612-9186(304) 366-7763 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2021, Jun 18, 2021 (2 updates tracked since 2021).

About Dr. Kenneth Hilsbos M.d. NPPES

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

DR. KENNETH HILSBOS M.D. (NPI 1912922980) is an individual family medicine provider in Fairmont, West Virginia, licensed in West Virginia (17553) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of West Virginia University School Of Medicine (1990).

NPPES Registry Identity

NPI1912922980
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH HILSBOSCredential: M.D.
Location Address5 ERWIN LN STE BFairmont, WV 26554-1376
Mailing Address5 Erwin Ln Ste BFairmont, WV 26554-1376 · (304) 612-9186 · Fax (304) 366-7763
Phone(304) 612-9186
Fax(304) 366-7763
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1990
Enumeration DateJuly 12, 2006
Last NPPES UpdateJune 21, 20212 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1912922980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 17553
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.
5 ERWIN LN STE B, Fairmont, WV 26554
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Other Identifiers 1

Medicaid3810003579WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.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. Kenneth Hilsbos 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 ID3678536935
PECOS Enrollment IDI20041202000119
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.

Hospital Affiliations CMS Care Compare

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26554 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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

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

HILSBOS FAMILY CARE, PLLC
Family Medicine
5 ERWIN LN STE B
FAIRMONT, WV 26554
Marion County (304) 612-9186

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 Kenneth Hilsbos's NPI number?

The NPI number for Kenneth Hilsbos is 1912922980. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Kenneth Hilsbos located?

Kenneth Hilsbos practices at 5 Erwin Ln Ste B, Fairmont, WV 26554. The listed phone number is (304) 612-9186.

What is Kenneth Hilsbos's specialty?

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

Is Kenneth Hilsbos enrolled in Medicare?

Yes. Kenneth Hilsbos 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 Kenneth Hilsbos accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Kenneth Hilsbos 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 Kenneth Hilsbos affiliated with any hospitals?

According to CMS data, Kenneth Hilsbos is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Kenneth Hilsbos was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.