1. Home
  2. Directory
  3. Delaware
  4. Wilmington
  5. Internal Medicine
  6. NPI Profile

THOMAS G HILTON MD
NPI 1912983339
Internal Medicine in Wilmington, DE

Active since December 17, 2005PECOS Enrolled
3301 LANCASTER PIKE, SUITE 9, WILMINGTON, DE 19805(302) 428-4760(302) 656-5611 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas G Hilton Md NPPES

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

THOMAS G HILTON MD (NPI 1912983339) is an individual internal medicine provider in Wilmington, Delaware, licensed in Delaware (C10004977) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912983339
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS G HILTONCredential: MD
Location Address3301 LANCASTER PIKE, SUITE 9Wilmington, DE 19805-1436
Mailing Address3301 Lancaster Pike, Suite 9Wilmington, DE 19805-1436 · (302) 428-4760 · Fax (302) 656-5611
Phone(302) 428-4760
Fax(302) 656-5611
Sole ProprietorNo
Enumeration DateDecember 17, 2005
Last NPPES UpdateJune 23, 2011
✔ NPI 1912983339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DE · C10004977
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3301 LANCASTER PIKE, Wilmington, DE 19805
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN903546C90DE
Medicare UPING48008DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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 (PECOS)

Thomas G Hilton Md 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.

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.

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.
241 services205 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.
138 services138 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.
113 services107 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services18 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19805 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
7 suppliers14 claims28 services$4.24 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 11

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

FIRST STATE INFECTIOUS DISEASE SPECIALISTS LLC
Specialist
3301 LANCASTER PIKE, SUITE 9
WILMINGTON, DE 19805
New Castle County (302) 661-2303
DR. LAUREN ELIZABETH CARDILLO PHARMD
Pharmacist
3301 LANCASTER PIKE
WILMINGTON, DE 19805
New Castle County (302) 655-0677
SUMERA B DESILVA PHARM D
Pharmacist
3301 LANCASTER PIKE
WILMINGTON, DE 19805
New Castle County (302) 655-0826
DR. SUSAN L COWDERY MD
Internal Medicine (Rheumatology)
3301 LANCASTER PIKE, SUITE 9
WILMINGTON, DE 19805
New Castle County (302) 830-5297
HELEN PAGE TING MD
Internal Medicine
3301 LANCASTER PIKE, SUITE 9
WILMINGTON, DE 19805
New Castle County (302) 656-2069
WALGREEN CO
Pharmacy
3301 LANCASTER PIKE
WILMINGTON, DE 19805
New Castle County (302) 655-0826
CYNTHIA HELDT MD
Internal Medicine
3301 LANCASTER PIKE, SUITE 9
WILMINGTON, DE 19805
New Castle County (302) 428-4569
AN NGUYEN
Pharmacist
3301 LANCASTER PIKE
WILMINGTON, DE 19805
New Castle County (302) 655-0826

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 Thomas Hilton's NPI number?

The NPI number for Thomas Hilton is 1912983339. It was assigned to this individual provider in the NPPES registry on December 17, 2005.

Where is Thomas Hilton located?

Thomas Hilton practices at 3301 Lancaster Pike Suite 9, Wilmington, DE 19805. The listed phone number is (302) 428-4760.

What is Thomas Hilton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Hilton enrolled in Medicare?

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

What insurance does Thomas Hilton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Thomas 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 Thomas Hilton was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.