Active NPI 1194797431 Individual Practitioner Female Practitioner

Dr. Dora H Hilty , MD

Internal Medicine • Denver, CO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Dora Hilty, MD is a certified Internal Medicine practicing in Denver, CO. With approximately 31 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1995, Dr. Hilty delivers high-quality medical care to the local community at 10400 E ALAMEDA AVE.

Dr. Hilty maintains professional affiliations with Rocky Mountain Primary Care , Pc, Select Physical Therapy Of West Denver Limited Partnership and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10400 E Alameda Ave

Denver, CO 802475104

Telephone 3033384545

Associated Practice Facility / Clinic

🏢 Kaiser Foundation Health Plan Of Colorado Facility NPI 1386758514

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Denver, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +10.8 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

520 Specialists

Practicing in Denver, CO (2124 Statewide)

Telehealth Adoption Rate

16.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hilty (31 Years) 31 Yrs

Denver Specialty Average (20.2 Years) 20.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	96	$300.00	$77.69
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	215	83	$30.00	$16.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	50	$419.00	$104.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$307.00	$42.86
83036 Hemoglobin A1C level	52	23	$27.00	$9.52
90480 Admn sarscov2 vacc 1 dose	47	38	$60.00	$43.45
90662 Influenza vaccine split virus, preservative free	31	31	$120.00	$81.18
G0008 Administration of influenza virus vaccine	31	31	$41.00	$32.58
91322 Sarscov2 vac 50 mcg/0.5ml im	28	24	$150.00	$145.29
91320 Sarscv2 vac 30mcg trs-suc im	22	19	$150.00	$143.63
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	20	17	$85.00	$68.88
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	19	19	$518.00	$289.66
G0009 Administration of pneumococcal vaccine	19	19	$41.00	$32.58
81002 Urinalysis, manual test	19	14	$10.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$211.00	$48.19
93000 Routine ekg using at least 12 leads including interpretation and report	14	11	$34.00	$14.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$33.00	$14.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	96	$299.01	$80.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	43	$419.00	$102.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$307.00	$47.45
83036 Hemoglobin A1C level	55	24	$27.00	$9.52
G0008 Administration of influenza virus vaccine	37	35	$41.00	$31.04
90662 Influenza vaccine split virus, preservative free	34	32	$120.00	$71.73
99213 Established patient office or other outpatient visit, typically 15 minutes	29	28	$203.72	$54.84
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	21	21	$518.00	$282.20
G0009 Administration of pneumococcal vaccine	21	21	$41.00	$31.04
90480 Admn sarscov2 vacc 1 dose	19	19	$60.00	$41.39
93000 Routine ekg using at least 12 leads including interpretation and report	18	16	$34.00	$14.64
81002 Urinalysis, manual test	17	13	$10.00	$3.41
91322 Sarscov2 vac 50 mcg/0.5ml im	17	17	$150.00	$143.00
36415 Insertion of needle into vein for collection of blood sample	16	16	$7.00	$6.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	93	$300.00	$94.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$307.00	$62.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	36	$419.00	$112.95
36415 Insertion of needle into vein for collection of blood sample	41	36	$7.00	$2.97
83036 Hemoglobin A1C level	37	21	$27.00	$9.34
G0008 Administration of influenza virus vaccine	37	36	$41.00	$30.30
90662 Influenza vaccine split virus, preservative free	32	31	$120.00	$68.13
0134A Fee covid-19 vac 14 res	22	22	$62.00	$40.02
G0444 Annual depression screening, 5 to 15 minutes	22	22	$44.00	$18.98
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$211.00	$55.51
0124A Fee covid-19 vac 13 res	20	20	$62.00	$40.02
93000 Routine ekg using at least 12 leads including interpretation and report	18	16	$34.00	$14.59
0064A Adm sarscov2 50mcg/0.25mlbst	18	18	$62.00	$40.36
81002 Urinalysis, manual test	18	14	$10.00	$3.44
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	12	12	$62.00	$40.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	324	115	$288.77	$110.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	51	$407.83	$156.56
36415 Insertion of needle into vein for collection of blood sample	63	51	$7.00	$2.89
0013A Adm sarscov2 100mcg/0.5ml3rd	55	55	$45.00	$41.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$299.87	$137.63
0011A Adm sarscov2 100mcg/0.5ml1st	41	41	$41.24	$28.49
0012A Adm sarscov2 100mcg/0.5ml2nd	39	39	$45.00	$40.12
G0008 Administration of influenza virus vaccine	38	38	$40.92	$17.52
83036 Hemoglobin A1C level	37	23	$27.00	$9.71
0003A Adm sarscov2 30mcg/0.3ml 3rd	35	35	$45.00	$41.18
81002 Urinalysis, manual test	33	25	$9.76	$3.48
90662 Influenza vaccine split virus, preservative free	32	32	$120.00	$65.13
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$193.06	$86.17
99496 Transitional care management services for problem of high complexity	13	12	$637.92	$289.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	326	122	$248.00	$88.64
99213 Established patient office or other outpatient visit, typically 15 minutes	148	93	$170.00	$63.57
36415 Insertion of needle into vein for collection of blood sample	57	48	$7.00	$2.89
G0008 Administration of influenza virus vaccine	46	45	$38.00	$17.13
90662 Influenza vaccine split virus, preservative free	41	40	$120.00	$60.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$266.00	$118.38
81002 Urinalysis, manual test	30	15	$8.00	$3.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$333.00	$128.38
83036 Hemoglobin A1C level	16	14	$27.00	$9.71
G0444 Annual depression screening, 5 to 15 minutes	15	15	$41.00	$18.67
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$393.00	$174.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$247.00	$110.13
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$380.00	$168.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	44	$247.13	$107.08
99213 Established patient office or other outpatient visit, typically 15 minutes	25	17	$170.00	$74.89
G0008 Administration of influenza virus vaccine	13	13	$38.00	$16.80

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CO 37657

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

83300767 (CO)

Hospital & Practice Group Affiliations

Rocky Mountain Primary Care , Pc

3520 W 92nd Ave, Westminster, CO 800313304

Phone: 3034296600

Select Physical Therapy Of West Denver Limited Partnership

2152 E 88th Ave, Thornton, CO 802295023

Phone: 3032270400

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Robert Burman , MD, PhD

Radiology - Diagnostic Radiology

NPI 1003013830

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Katrina Wagoner-Hursh , MD

Internal Medicine

NPI 1003029299

Doctor of Medicine (M.D.)

Dr. Martin Rausch , MD

Hospitalist

NPI 1003038902

Doctor of Medicine (M.D.)

Cassandra Buzard , RN

Registered Nurse

NPI 1003054461

Registered Nurse

Erik Petersen , LPC

Counselor - Professional

NPI 1003060302

Licensed Professional Counselor

Lauren Hillary , PA-C

Physician Assistant

NPI 1003075821

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 03, 2017

Registered at 10400 E ALAMEDA AVE, DENVER, CO 802475104 (Tel: 3033384545)

📍

Updated Business Mailing Address January 03, 2017

Registered at 10400 E ALAMEDA AVE, DENVER, CO 802475104 (Tel: 3033384545)

👤

Provider Name / Credentials Updated January 03, 2017

Recorded as DORA HILTY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2017

Internal Medicine (License #37657 in CO)

🟢

Initial NPI Registration & Enumeration February 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Dora Hilty. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194797431

Entity Type:

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

Enumeration Date: February 02, 2006

Last Update: January 03, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10400 E Alameda Ave

Denver, CO 802475104

Phone: 3033384545

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.