DR. PAUL B HILLESHEIM DO
NPI 1942361688
Pathology - Dermatopathology in Rome, GA

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
90/100
CMS Quality Rating
311 WEST 8TH STREET, ROME, GA 30165(706) 291-8702(706) 291-6514 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1942361688
Entity TypeIndividualMale
Primary Taxonomy207ZD0900X
Provider Legal NameDR. PAUL B HILLESHEIMCredential: DO
Location Address311 WEST 8TH STREETRome, GA 30165
Mailing Address311 West 8th StreetRome, GA 30165 · (706) 291-8702 · Fax (706) 291-6514
Fax(706) 291-6514
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 2003
Enumeration DateDecember 13, 2006
Last NPPES UpdateOctober 21, 2019
NPI 1942361688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
Licenses Licensed in GA · 80728 Licensed in IN · 02004008A
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
311 WEST 8TH STREET, Rome, GA 30165

Other Identifiers 1

MedicaidG04766AGA

Accepted 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. 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.

PECOS PAC ID1052661030
PECOS Enrollment IDI20240503002402
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 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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
2,015 services940 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
931 services509 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
223 services57 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
215 services60 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
130 services72 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
125 services70 patients

Hospital Affiliations CMS Care Compare 3

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

Morgan Medical Center

Critical Access Hospitals · Madison, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111304
Location1740 Lions Club RoadMadison, GA 30650 · Morgan County
Emergency services

Anmed Health

Acute Care Hospitals · Anderson, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420027
Location800 N Fant StAnderson, SC 29621 · Anderson County
Emergency services Birthing friendly

Newberry County Memorial Hospital

Acute Care Hospitals · Newberry, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number420053
Location2669 Kinard St PO Box 497Newberry, SC 29108 · Newberry County
Emergency services Birthing friendly

Physician 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.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

90/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40

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.

Pathology (Anatomic Pathology & Clinical Pathology)
311 WEST 8TH STREET
ROME, GA 30165
Pathology (Clinical Pathology/Laboratory Medicine)
311 WEST 8TH STREET
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.

What insurance does Paul Hillesheim accept?

Health plans from 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, 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 6 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.