Active NPI 1225653462 Individual Practitioner Female Practitioner

Danielle Hilton , FNP

Nurse Practitioner • Cayce, SC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Danielle Hilton, FNP is a certified Nurse Practitioner practicing in Cayce, SC. With approximately 6 years of clinical experience since graduating from University Of South Carolina School Of Medicine in 2020, Danielle Hilton delivers high-quality medical care to the local community at 3799 12TH STREET EXT STE 105.

Danielle Hilton is affiliated with Lexington Health Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3799 12th Street Ext Ste 105

Cayce, SC 290333750

Telephone 8039266820

Associated Practice Facility / Clinic

🏢 Lexington County Health Services District, Inc. Facility NPI 1336557545

Medicare Profile & Education

Medical School

University Of South Carolina School Of Medicine

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cayce, SC

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

6 Yrs +1.5 yrs vs City Avg

City Avg: 4.5 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

2 Specialists

Practicing in Cayce, SC (1282 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hilton (6 Years) 6 Yrs

Cayce Specialty Average (4.5 Years) 4.5 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
36415 Insertion of needle into vein for collection of blood sample	93	45	$8.81	$8.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	40	$240.00	$99.70
99213 Established patient office or other outpatient visit, typically 15 minutes	38	26	$165.00	$72.52
83036 Hemoglobin A1C level	34	14	$44.00	$8.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$207.00	$96.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	110	62	$7.00	$6.80
99213 Established patient office or other outpatient visit, typically 15 minutes	102	70	$165.00	$71.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	50	$240.00	$101.30
83036 Hemoglobin A1C level	37	18	$44.00	$9.26
81003 Automated urinalysis test	13	12	$19.00	$2.20
71046 X-ray of chest, 2 views	12	11	$109.00	$21.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	134	$165.00	$71.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	79	$240.91	$103.02
36415 Insertion of needle into vein for collection of blood sample	128	84	$7.00	$2.96
J0696 Injection, ceftriaxone sodium, per 250 mg	44	11	$26.00	$0.50
81003 Automated urinalysis test	36	33	$19.00	$2.22
83036 Hemoglobin A1C level	33	19	$44.00	$10.59
71046 X-ray of chest, 2 views	27	26	$105.44	$22.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$99.00	$45.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$364.00	$134.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	16	$58.00	$11.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$207.00	$104.60
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$87.00	$11.41
90662 Influenza vaccine split virus, preservative free	12	11	$142.75	$68.27
G0008 Administration of influenza virus vaccine	12	11	$31.75	$27.54
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	12	$131.50	$34.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	83	$165.00	$73.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	31	$240.00	$105.36
36415 Insertion of needle into vein for collection of blood sample	35	27	$7.00	$3.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$99.00	$43.96

Medical Specialties & State Licenses

CMS Verified: 2023-04-19

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License SC 24482

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Lexington Health Inc

811 W Main St, Lexington, SC 290722500

Lexington Health Inc

3799 12th St Ext, Cayce, SC 290333750

Lexington Health Inc

1111 Knox Abbott Dr, Cayce, SC 290333323

Phone: 8033140660

Practice Associates & Co-Workers

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

8 Associated Practitioners

William Strickland

Family Medicine

NPI 1013321546

Gloria Harvey , PT

Physical Therapist

NPI 1356587760

Physical Therapist

Dr. Payton Foust , MD

Family Medicine

NPI 1528352291

Doctor of Medicine (M.D.)

Dr. Henry Martin , MD

Family Medicine

NPI 1649288754

Doctor of Medicine (M.D.)

Megan Davison , FNP

Nurse Practitioner - Family

NPI 1740988518

Family Nurse Practitioner

Dr. Michaela Mcelveen , MD

Family Medicine

NPI 1811561368

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2023

Student in an Organized Health Care Education/Training Program

📍

Updated Practice Location April 06, 2021

Registered at 3799 12TH STREET EXT STE 105, CAYCE, SC 290333750 (Tel: 8039266820)

📍

Updated Business Mailing Address April 06, 2021

Registered at PO BOX 6069, WEST COLUMBIA, SC 291716069

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2021

Nurse Practitioner (License #24482 in SC)

✅

NPI Profile Active June 13, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2020

Registered at 1601 GREENE ST, COLUMBIA, SC 292084001 (Tel: 8037777412)

📍

Updated Business Mailing Address June 13, 2020

Registered at 1601 GREENE ST, COLUMBIA, SC 292084001

👤

Provider Name / Credentials Updated June 13, 2020

Recorded as DANIELLE HILTON, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2020

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 13, 2020

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: 1225653462

Entity Type:

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

Enumeration Date: June 13, 2020

Last Update: April 19, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6069

West Columbia, SC 291716069

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.