Active NPI 1023014016 Individual Practitioner Male Practitioner

Dr. Scott J Hillmann , MD

Surgery • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Hillmann, MD is a certified Surgery practicing in Phoenix, AZ. With approximately 50 years of clinical experience since graduating from George Washington University School Of Medicine in 1976, Dr. Hillmann delivers high-quality medical care to the local community at 16601 N 40TH ST STE 204.

Dr. Hillmann is affiliated with Valley Surgical Clinics, Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16601 N 40th St Ste 204

Phoenix, AZ 850323356

Telephone 6029964747

Fax 6029535466

Associated Practice Facility / Clinic

🏢 Valley Surgical Clinics, Ltd Facility NPI 1962440602

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +28.2 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

180 Specialists

Practicing in Phoenix, AZ (801 Statewide)

Telehealth Adoption Rate

7.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hillmann (50 Years) 50 Yrs

Phoenix Specialty Average (21.8 Years) 21.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	193	131	$156.00	$74.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$257.00	$124.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$342.00	$165.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	189	129	$147.00	$76.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	50	$281.00	$124.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$80.00	$48.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	144	83	$147.00	$67.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$281.00	$131.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$80.00	$37.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	174	94	$146.73	$70.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	64	$280.75	$133.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	12	$255.00	$127.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$80.01	$37.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	81	54	$139.10	$71.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$265.00	$137.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	161	87	$139.00	$71.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	55	$265.00	$133.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$389.00	$199.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	19	$83.00	$38.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$209.00	$103.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$207.00	$103.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	15	$220.00	$102.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$330.00	$161.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	192	112	$139.00	$71.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	66	$282.66	$134.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	36	$389.00	$195.71
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$140.00	$71.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$209.00	$104.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$207.00	$105.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	12	$220.00	$102.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	231	118	$139.00	$71.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	76	72	$273.61	$133.75
99213 Established patient office or other outpatient visit, typically 15 minutes	44	41	$143.14	$70.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$209.00	$106.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$390.00	$200.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$227.50	$105.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$330.00	$161.41
47562 Removal of gallbladder using an endoscope	16	16	$1399.13	$518.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$89.29	$41.92

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 12852

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

211524 (AZ)

Commercial Insurance / Payer ID Aetna

2572623 (AZ)

Commercial Insurance / Payer ID Blue Cross Blue Shield

AZ0830700 (AZ)

Commercial Insurance / Payer ID Rr Medicare

020040211

Commercial Insurance / Payer ID Healthnet

2Z0573 (AZ)

Hospital & Practice Group Affiliations

Valley Surgical Clinics, Ltd

16601 N 40th St, Phoenix, AZ 850323356

Phone: 6029964747

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners

Dr. Adam Mina , DO

Surgery - Surgical Critical Care

NPI 1053705459

Doctor of Osteopathic Medicine (D.O.)

Dr. Jeffrey Singer , MD

Surgery

NPI 1073541017

Doctor of Medicine (M.D.)

Dr. Luis Hashimoto , MD

Surgery

NPI 1083606883

Doctor of Medicine (M.D.)

Scott Sholem

Surgery - Trauma Surgery

NPI 1114188950

Dr. Meghann Kaiser , MD

Surgery - Surgical Critical Care

NPI 1124204177

Doctor of Medicine (M.D.)

Dr. Rima Ahmad , MBBS

Surgery

NPI 1154760742

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active September 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 18, 2017

Registered at 16601 N 40TH ST STE 204, PHOENIX, AZ 850323356 (Tel: 6029964747)

📍

Updated Business Mailing Address September 18, 2017

Registered at 16601 N 40TH ST STE 204, PHOENIX, AZ 850323356 (Tel: (602) 996-4747)

👤

Provider Name / Credentials Updated September 18, 2017

Recorded as SCOTT HILLMANN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2017

Surgery (License #12852 in AZ)

✅

NPI Profile Active October 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 11, 2012

Registered at 3805 E BELL RD, SUITE 4800, PHOENIX, AZ 850322105 (Tel: 6029964747)

📍

Updated Business Mailing Address October 11, 2012

Registered at 3805 E BELL RD, SUITE 4800, PHOENIX, AZ 850322105 (Tel: 6029964747)

👤

Provider Name / Credentials Updated October 11, 2012

Recorded as SCOTT HILLMANN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2012

Surgery (License #12852 in AZ)

🟢

Initial NPI Registration & Enumeration June 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023014016

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 23, 2005

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

16601 N 40th St Ste 204

Phoenix, AZ 850323356

Phone: 6029964747

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.