Active NPI 1306943766 Individual Practitioner Female Practitioner

Melissa A. Hilborn , PA-C

Physician Assistant • Spencer, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Melissa Hilborn, PA-C is a certified Physician Assistant practicing in Spencer, MA. With approximately 25 years of clinical experience since completing medical education in 2001, Melissa Hilborn delivers high-quality medical care to the local community at 118 W MAIN ST.

Melissa Hilborn is affiliated with Umass Memorial Medical Group Inc 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, telephone medical discussion with physician, transitional care management services for problem of at least moderate complexity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

118 W Main St

Spencer, MA 015622621

Telephone 5088853025

Fax 5088854090

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Group Inc Facility NPI 1760445373

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spencer, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs Matches City Avg

City Avg: 25.0 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Spencer, MA (4746 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hilborn (25 Years) 25 Yrs

Spencer Specialty Average (25.0 Years) 25.0 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	130	92	$445.00	$107.97
99213 Established patient office or other outpatient visit, typically 15 minutes	90	74	$300.00	$77.05
99442 Telephone medical discussion with physician, 11-20 minutes	16	15	$316.00	$76.48

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	148	113	$405.49	$110.13
99213 Established patient office or other outpatient visit, typically 15 minutes	64	52	$277.25	$79.01
99495 Transitional care management services for problem of at least moderate complexity	27	24	$625.00	$179.97
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$131.00	$12.75
99442 Telephone medical discussion with physician, 11-20 minutes	12	11	$285.08	$79.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	108	82	$244.00	$81.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	54	$359.00	$114.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$178.00	$50.71
99443 Telephone medical discussion with physician, 21-30 minutes	14	14	$382.00	$114.75
99442 Telephone medical discussion with physician, 11-20 minutes	12	11	$263.00	$81.28

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	80	68	$358.46	$116.67
99213 Established patient office or other outpatient visit, typically 15 minutes	58	50	$243.48	$82.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$144.85	$50.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$389.00	$119.39

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	25	22	$308.24	$96.19
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$196.47	$67.52

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	59	42	$278.00	$95.45
99213 Established patient office or other outpatient visit, typically 15 minutes	47	35	$189.00	$65.22

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	40	34	$278.00	$94.19
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$189.00	$63.68

Medical Specialties & State Licenses

CMS Verified: 2021-03-25

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA5642

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nccpa Certification

1051985

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

118 W Main St, Spencer, MA 015622621

Phone: 5088853025

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

5 Associated Practitioners

Joseph Kahoro

Physician Assistant - Medical

NPI 1205324746

Dr. Talal Bou-Harb , MD

Internal Medicine

NPI 1508830522

Doctor of Medicine (M.D.)

Dr. Ryan Fillipon , DO

Internal Medicine

NPI 1700053451

Doctor of Osteopathic Medicine (D.O.)

Dr. Robert Maloney , MD

Internal Medicine

NPI 1790705432

Doctor of Medicine (M.D.)

Dr. Nicholas Fillipon , DO

Internal Medicine

NPI 1851369599

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address January 22, 2021

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2021

Physician Assistant (License #PA5642 in MA)

📍

Updated Practice Location May 11, 2018

Registered at 118 W MAIN ST, SPENCER, MA 015622621 (Tel: 5088853025)

✅

NPI Profile Active February 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 25, 2016

Registered at 10 N MAIN ST, URGENT CARE EXPRESS AT HARRINGTON, CHARLTON, MA 015071590 (Tel: 5082481770)

📍

Updated Business Mailing Address February 25, 2016

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

👤

Provider Name / Credentials Updated February 25, 2016

Recorded as MELISSA HILBORN, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2016

Physician Assistant

🟢

Initial NPI Registration & Enumeration September 20, 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: 1306943766

Entity Type:

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

Enumeration Date: September 20, 2006

Last Update: March 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.