JEFFREY W HILBURN MD
NPI 1962409805
Psychiatry & Neurology - Neurology in Indianapolis, IN

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
8402 HARCOURT RD STE 615, INDIANAPOLIS, IN 46260(317) 806-6991(317) 806-6990 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 23, 2021, Oct 22, 2019 (2 updates tracked since 2019).

About Jeffrey W Hilburn Md NPPES

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

JEFFREY W HILBURN MD (NPI 1962409805) is an individual neurology provider in Indianapolis, Indiana, licensed in Indiana (01024916A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Riverview Health, and is a graduate of Indiana University School Of Medicine (1973).

NPPES Registry Identity

NPI1962409805
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJEFFREY W HILBURNCredential: MD
Location Address8402 HARCOURT RD STE 615Indianapolis, IN 46260-2055
Mailing Address6983 Hillsdale CtIndianapolis, IN 46250-2054 · (317) 849-8350 · Fax (317) 576-6311
Fax(317) 806-6990
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1973
Enumeration DateJuly 7, 2005
Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
NPI 1962409805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IN · 01024916A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License 01024916A (IN)
8402 HARCOURT RD STE 615, Indianapolis, IN 46260

Other Identifiers 1

Medicaid100059950IN

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

Jeffrey W Hilburn Md 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 ID1658280946
PECOS Enrollment IDI20040416000643
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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
271 services159 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
70 services70 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.
69 services62 patients
Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
48 services28 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
28 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Riverview Health

Acute Care Hospitals · Noblesville, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150059
Location395 Westfield RdNoblesville, IN 46060 · Hamilton County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.45
Promoting Interoperability89
Improvement Activities40
Cost64.23

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
79%1,228 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
15%298 patients1/55-star benchmark: 99%
MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK
Percentage of patients age 12 years and older with a diagnosis of migraine who were prescribed a guideline recommended medication for acute migraine attacks within the 12 month measurement period.
47%139 patients3/55-star benchmark: 90%
Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease
Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for psychiatric symptoms** in the past 12 months
31%39 patients2/55-star benchmark: 100%
Screening for Psychiatric or Behavioral Health Disorders
Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders.
10%184 patients1/55-star benchmark: 100%
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.

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.

Psychiatry & Neurology (Neurology)
8402 HARCOURT RD STE 615
INDIANAPOLIS, IN 46260
Nurse Practitioner (Family)
8402 HARCOURT RD STE 615
INDIANAPOLIS, IN 46260
Psychiatry & Neurology (Neurology)
8402 HARCOURT RD STE 615
INDIANAPOLIS, IN 46260
Nurse Practitioner
8402 HARCOURT RD STE 615
INDIANAPOLIS, IN 46260
Nurse Practitioner (Gerontology)
8402 HARCOURT RD STE 615
INDIANAPOLIS, IN 46260
Registered Nurse
8402 HARCOURT RD STE 615
INDIANAPOLIS, IN 46260
Psychiatry & Neurology (Neurology)
8402 HARCOURT RD STE 615
INDIANAPOLIS, IN 46260
Psychiatry & Neurology (Neurology)
8402 HARCOURT RD STE 615
INDIANAPOLIS, IN 46260

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 Jeffrey Hilburn's NPI number?

The NPI number for Jeffrey Hilburn is 1962409805. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Jeffrey Hilburn located?

Jeffrey Hilburn practices at 8402 Harcourt Rd Ste 615, Indianapolis, IN 46260. The listed phone number is (317) 806-6991.

What is Jeffrey Hilburn's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jeffrey Hilburn enrolled in Medicare?

Yes. Jeffrey Hilburn 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 Jeffrey Hilburn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Jeffrey Hilburn 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 Jeffrey Hilburn affiliated with any hospitals?

According to CMS data, Jeffrey Hilburn is affiliated with Riverview Health and Ascension St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Hilburn was last updated on March 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.