Active NPI 1073585378 Individual Practitioner Male Practitioner

Dr. Stephen T Hilborn , MD

Surgery • Southbridge, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Hilborn, MD is a certified Surgery practicing in Southbridge, MA. With approximately 29 years of clinical experience since graduating from Tufts University School Of Medicine in 1997, Dr. Hilborn delivers high-quality medical care to the local community at 94 SOUTH ST.

Dr. Hilborn is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof 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

94 South St
Harrington Physician Services

Southbridge, MA 015504000

Telephone 5087642772

Fax 5087642833

Associated Practice Facility / Clinic

🏢 Harrington Physician Services Inc Facility NPI 1346420874

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Southbridge, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -5.3 yrs vs City Avg

City Avg: 34.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Southbridge, MA (1077 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hilborn (29 Years) 29 Yrs

Southbridge Specialty Average (34.3 Years) 34.3 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$359.00	$114.30
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$300.00	$93.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$238.00	$79.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$547.00	$172.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$667.00	$174.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$332.68	$115.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	17	$153.25	$57.59
99213 Established patient office or other outpatient visit, typically 15 minutes	21	15	$261.62	$93.40
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$1143.00	$186.01
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$236.00	$75.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$320.00	$118.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	22	$51.86	$37.90
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$223.39	$95.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	11	$142.27	$59.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	14	$100.00	$39.84
97597 Removal of tissue from wound, 20.0 sq cm or less	15	12	$62.27	$37.90
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$222.00	$77.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$49.88	$37.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$320.00	$118.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	12	$100.00	$39.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	14	$400.00	$141.20
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$222.00	$77.31
97597 Removal of tissue from wound, 20.0 sq cm or less	14	12	$59.86	$37.61
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$217.00	$96.78
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$994.00	$195.90
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$257.00	$104.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	12	$100.00	$41.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$302.23	$113.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	12	$124.09	$48.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$47.00	$27.37
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$208.60	$79.90
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$214.75	$73.42
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$257.00	$108.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$300.91	$115.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$193.56	$78.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	11	$45.00	$26.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$278.00	$114.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$348.00	$143.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$113.00	$47.78
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$193.00	$77.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$100.00	$41.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	11	$184.00	$76.08
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$994.00	$201.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	103	38	$53.27	$24.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	33	$43.39	$25.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	25	$348.00	$142.04
99213 Established patient office or other outpatient visit, typically 15 minutes	26	19	$87.19	$51.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$278.00	$112.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	17	$184.00	$75.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1286.00	$275.33
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$189.00	$76.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$211.08	$130.44
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$994.00	$199.27
G0008 Administration of influenza virus vaccine	11	11	$30.00	$21.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	144	53	$53.00	$22.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	140	64	$43.00	$24.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$278.00	$111.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$124.00	$74.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$113.00	$45.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$348.00	$139.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$184.00	$73.83

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 261430

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

2341586 (OH)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

100 S St, Southbridge, MA 015504051

Phone: 5087659771

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

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

12 Associated Practitioners

Lisa Schnare , CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1134745573

Dr. Charles Sommer , MD

Orthopaedic Surgery

NPI 1205821410

Doctor of Medicine (M.D.)

Dr. Young-Ho Oh , MD

Orthopaedic Surgery

NPI 1255308672

Doctor of Medicine (M.D.)

Dr. Samantha Chase , MD

Orthopaedic Surgery

NPI 1356635379

Doctor of Medicine (M.D.)

Dr. Richard Manolian , DPM

Podiatrist

NPI 1477548915

Doctor of Podiatric Medicine

Dr. Sarah Daigle , DPM

Podiatrist

NPI 1528445186

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2015

Registered at 94 SOUTH ST, HARRINGTON PHYSICIAN SERVICES, SOUTHBRIDGE, MA 015504000 (Tel: 5087642772)

📍

Updated Business Mailing Address April 14, 2015

Registered at PO BOX 40, HARRINGTON PHYSICIAN SERVICES, SOUTHBRIDGE, MA 015500040 (Tel: 5089097799)

👤

Provider Name / Credentials Updated April 14, 2015

Recorded as STEPHEN HILBORN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2015

Surgery (License #261430 in MA)

🟢

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

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NPI Administrative Meta

NPI Number: 1073585378

Entity Type:

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

Enumeration Date: February 02, 2006

Last Update: April 14, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 40, Harrington Physician Services

Southbridge, MA 015500040

Phone: 5089097799

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.