DR. PAUL B HILLESHEIM DO
NPI 1942361688
Pathology - Dermatopathology in Rome, GA
About Dr. Paul B Hillesheim Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL B HILLESHEIM DO (NPI 1942361688) is an individual dermatopathology provider in Rome, Georgia, licensed in Georgia (80728) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Morgan Medical Center, and is a graduate of Chicago College Of Osteopathy (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Paul B Hillesheim 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.
Medicare Billing Reassignments
2Medicare enrollment records show Paul Hillesheim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 11 clinicians in this Medicare group
Anderson, SC 29621
- Reassigned Medicare billing, South Carolina enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 27
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Morgan Medical Center
Critical Access Hospitals · Madison, GAElbert Memorial Hospital
Critical Access Hospitals · Elberton, GAAnmed Health
Acute Care Hospitals · Anderson, SCNewberry County Memorial Hospital
Acute Care Hospitals · Newberry, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROME, GA 30165
ROME, GA 30165
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 Paul Hillesheim's NPI number?
The NPI number for Paul Hillesheim is 1942361688. It was assigned to this individual provider in the NPPES registry on December 13, 2006.
Where is Paul Hillesheim located?
Paul Hillesheim practices at 311 West 8th Street, Rome, GA 30165. The listed phone number is (706) 291-8702.
What is Paul Hillesheim's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.
Is Paul Hillesheim enrolled in Medicare?
Yes. Paul Hillesheim 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.
Which organizations bill Medicare for Paul Hillesheim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Hillesheim reassigns Medicare benefits to 2 organizations: Southeastern Pathology, P.C. (Rome, GA) and Piedmont Pathology Associates PA (Anderson, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Hillesheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Hillesheim accept?
Health plans from Alliant Health Plans, Inc. and BlueCross BlueShield of South Carolina list Paul Hillesheim 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 Paul Hillesheim affiliated with any hospitals?
According to CMS data, Paul Hillesheim is affiliated with Morgan Medical Center, Elbert Memorial Hospital, Anmed Health and Newberry County Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Paul Hillesheim was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Paul B Hillesheim, DO · NPI 1942361688
Dermatopathology physician in Rome, Georgia. Individual provider, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1942361688 (Entity type: Individual)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Pathology - Dermatopathology · taxonomy 207ZD0900X
- **State license:** 80728 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 311 WEST 8TH STREET, Rome, GA 30165
- **Phone:** (706) 291-8702 · **Fax:** (706) 291-6514
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southeastern Pathology, P.C. (NPI 1508848300, Rome, GA); Piedmont Pathology Associates PA (NPI 1235101965, Anderson, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Chicago College Of Osteopathy, class of 2003
## Record status
- **NPPES last updated:** October 21, 2019
- **Other identifiers:** Medicaid G04766A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1942361688) · Data from the CMS NPPES public registry.