Active NPI 1104113786 Individual Practitioner Male Practitioner

Dr. Micheca St.hilaire , MD

Internal Medicine • Stuart, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Micheca St.Hilaire, MD is a certified Internal Medicine practicing in Stuart, FL. With approximately 15 years of clinical experience since graduating from Meharry Medical College School Of Medicine in 2011, Dr. St.Hilaire delivers high-quality medical care to the local community at 200 SE HOSPITAL AVE.

Dr. St.Hilaire is affiliated with Martin Memorial Medical Center Inc 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, hospital discharge day management, more than, 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

200 Se Hospital Ave

Stuart, FL 349942346

Telephone 7722235618

Fax 7722885834

Associated Practice Facility / Clinic

🏢 Diagnostic Imaging Services Inc Facility NPI 1255301354

Medicare Profile & Education

Medical School

Meharry Medical College School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Stuart, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -4.9 yrs vs City Avg

City Avg: 19.9 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

102 Specialists

Practicing in Stuart, FL (10650 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. St.hilaire (15 Years) 15 Yrs

Stuart Specialty Average (19.9 Years) 19.9 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	531	185	$336.00	$81.02
99239 Hospital discharge day management, more than 30 minutes	133	129	$450.00	$117.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$1023.00	$178.23
99497 Advance care planning, first 30 minutes	16	16	$431.00	$77.15

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	522	189	$194.33	$82.05
99239 Hospital discharge day management, more than 30 minutes	160	154	$304.81	$119.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	102	55	$343.47	$124.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$877.52	$181.06
99497 Advance care planning, first 30 minutes	12	12	$183.08	$78.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	668	237	$345.00	$107.18
99239 Hospital discharge day management, more than 30 minutes	166	159	$377.00	$109.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	47	$236.00	$74.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$547.62	$208.51
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$225.00	$55.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	673	231	$342.00	$108.89
99239 Hospital discharge day management, more than 30 minutes	150	142	$373.00	$111.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	59	$527.00	$211.41
99220 Hospital observation care, typically 70 minutes	25	25	$490.00	$191.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	18	$223.00	$55.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	14	$234.00	$72.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	386	164	$342.53	$109.97
99239 Hospital discharge day management, more than 30 minutes	124	121	$373.00	$113.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	61	$524.52	$216.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	29	$234.00	$76.95
99220 Hospital observation care, typically 70 minutes	38	38	$490.00	$197.71
99217 Hospital observation care on day of discharge	20	20	$234.00	$77.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	14	$223.00	$56.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	724	300	$342.00	$109.19
99239 Hospital discharge day management, more than 30 minutes	193	192	$373.00	$112.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	106	106	$527.00	$213.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	54	$234.00	$76.82
99220 Hospital observation care, typically 70 minutes	64	64	$490.00	$195.85
99217 Hospital observation care on day of discharge	64	63	$234.00	$76.95
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	31	$223.00	$55.71
99226 Subsequent observation care, typically 35 minutes per day	14	12	$167.00	$110.15

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	646	268	$234.00	$76.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	399	169	$341.46	$108.80
99239 Hospital discharge day management, more than 30 minutes	254	244	$373.00	$111.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	141	137	$527.00	$212.29
99217 Hospital observation care on day of discharge	53	53	$234.00	$75.08
99220 Hospital observation care, typically 70 minutes	47	47	$490.00	$190.95
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	30	$223.00	$55.60
99225 Subsequent observation care, typically 25 minutes per day	17	12	$116.00	$60.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$434.00	$143.47

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	814	355	$234.93	$74.79
99239 Hospital discharge day management, more than 30 minutes	192	184	$373.00	$111.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	133	$527.00	$211.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	126	54	$342.00	$108.52
99220 Hospital observation care, typically 70 minutes	35	35	$490.00	$189.90
99217 Hospital observation care on day of discharge	31	31	$234.00	$75.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	25	$223.00	$55.61
99225 Subsequent observation care, typically 25 minutes per day	23	18	$116.00	$75.58

Medical Specialties & State Licenses

CMS Verified: 2025-08-18

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME124548

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License FL ME124548

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

015687300 (FL)

Commercial Insurance / Payer ID Florida Blue

1525G (FL)

Hospital & Practice Group Affiliations

Martin Memorial Medical Center Inc

200 Se Hospital Ave, Stuart, FL 349942346

Phone: 7722235665

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Priya Negandhi , MD

Internal Medicine

NPI 1013336171

Doctor of Medicine (M.D.)

Kelli Nelson , APRN

Nurse Practitioner

NPI 1033501036

Advanced Practice Registered Nurse

Yvette Cruz , PA-C

Physician Assistant

NPI 1043354285

Physician Assistant (Certified)

Dr. Ajita Kundaikar , MD

Internal Medicine

NPI 1043412281

Doctor of Medicine (M.D.)

Verona Stewart

Nurse Practitioner - Family

NPI 1043619612

Dr. Ahmed Khalafalla , MD

Internal Medicine

NPI 1043897119

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2025

Hospitalist (License #ME124548 in FL)

✅

NPI Profile Active November 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2015

Registered at 200 SE HOSPITAL AVE, STUART, FL 349942346 (Tel: 7722235618)

📍

Updated Business Mailing Address November 09, 2015

Registered at PO BOX 417, STUART, FL 349950417 (Tel: 7722232832)

👤

Provider Name / Credentials Updated November 09, 2015

Recorded as MICHECA ST.HILAIRE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2015

Internal Medicine (License #ME124548 in FL)

🟢

Initial NPI Registration & Enumeration July 05, 2011

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: 1104113786

Entity Type:

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

Enumeration Date: July 05, 2011

Last Update: August 18, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 417

Stuart, FL 349950417

Phone: 7722232832

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.