DR. MARK R HILTY MD
NPI 1609863729
Internal Medicine in Fall River, MA
NPI Status: Active since October 04, 2005
Contact Information
363 HIGHLAND AVE
FALL RIVER, MA
ZIP 02720
Phone: (508) 973-7447
Fax: (508) 973-7424
- Individual
- Male
- Internal Medicine
- PECOS Enrolled
About MARK HILTY
This page provides the complete NPI Profile along with additional information for Mark Hilty, an internist established in Fall River, Massachusetts with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1609863729 assigned on October 2005. The practitioner's primary taxonomy code is 207R00000X with license number 81533 (MA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1609863729
- Provider Name
- DR. MARK R HILTY MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 363 HIGHLAND AVE FALL RIVER, MA 02720
- Location Phone
- (508) 973-7447
- Location Fax
- (508) 973-7424
- Mailing Address
- 200 MILL RD STE 180 FAIRHAVEN, MA 02719
- Mailing Phone
- (508) 973-2000
- Mailing Fax
- (508) 973-7424
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-04-2005
- Last Update Date
- 04-29-2020
- Code Navigator
An internist like Mark Hilty is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 81533
- License State
- MA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110056214A | MEDICAID (05) | MA | |
| MH13050 | MEDICAID (05) | RI |
Medicare Participation & PECOS Enrollment Status
Mark Hilty is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02720 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.47
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.61
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 8 | 6 | 3 | 7 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 16 | 6 | 6 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 6 + 6 + 6 + 7 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1609863729 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528065489 | DIANE M. REILLY C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1164429023 | MRS. JACQUELINE M MULA C.R.N.A Individual | Nurse Anesthetist, Certified Registered | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1609873561 | MARCIA LOU GRAVES C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1669479523 | EILEEN A. DUNLAP C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1699772558 | DEBRA K PERRONE CRNA Individual | Nurse Anesthetist, Certified Registered | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1144227000 | MRS. CHRISTINE CARLIN CELONE C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1487651162 | LINDA M BUSHEE CRNA Individual | Nurse Anesthetist, Certified Registered | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1811994635 | MICHAEL J SCHWARTZ MD, PHD Individual | Anesthesiology | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1154328912 | MR. PAUL J ANGELO CRNA Individual | Nurse Anesthetist, Certified Registered | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1336147966 | MARTHA BRADY CRNA Individual | Nurse Anesthetist, Certified Registered | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1841298254 | NANCY M MARTIN CRNA Individual | Nurse Anesthetist, Certified Registered | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1285632059 | NODARI MIKHELASHVILI M.D. Individual | Anesthesiology | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1811981574 | KAYE O. JABREN CRNA Individual | Nurse Anesthetist, Certified Registered | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1619961158 | DR. MOKBEL M MATTA MD Individual | Anesthesiology | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-3131 |
| 1396717674 | DR. THOMAS M KIEFER M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 363 HIGHLAND AVE CHARLTON HOSPITAL FALL RIVER, MA 02720 (508) 679-7398 |
| 1285606582 | DR. RICHARD L WOLBARSHT M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 363 HIGHLAND AVE CHARLTON HOSPITAL FALL RIVER, MA 02720 (508) 679-7398 |
| 1851353551 | DR. BRIAN DONALD TSANG M.D. Individual | Emergency Medicine (Emergency Medical Services) | 363 HIGHLAND AVE CHARLTON MEMORIAL HOSPITAL - EMERGENCY DEPARTMENT FALL RIVER, MA 02720 (508) 679-7148 |
| 1467407940 | MRS. KATHLEEN MARIE CAYANUS PHYSICIAN ASSISTANT Individual | Physician Assistant (Medical) | 363 HIGHLAND AVE CHARLTON MEMORIAL HOSPITAL ER FALL RIVER, MA 02720 (508) 679-7041 |
| 1881640894 | ANDREW R KALINSKY MD Individual | Radiology (Diagnostic Radiology) | 363 HIGHLAND AVE RADIOLOGY DEPARTMENT FALL RIVER, MA 02720 (508) 677-9729 |
| 1003863739 | ERNEST HOU M.D. Individual | Pediatrics | 363 HIGHLAND AVE FALL RIVER, MA 02720 (508) 679-7645 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609863729, enumerated in the NPI registry as an "individual" on October 04, 2005
The provider is located at 363 Highland Ave Fall River, Ma 02720 and the phone number is (508) 973-7447
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $134.47 with an average copayment of $33.61 for new patient appointments. Established patients should expect a typical charge of $103.48 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 04, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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