THOMAS A HILSMAN (M.D.) – Family Medicine Physician, NPI 1922093665
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
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Provider Addresses for THOMAS A HILSMAN (M.D.)
Albany Terrace, Fairfield, Perth, Perth and Kinross, Scotland, PH1 2BD, United Kingdom
ALBANY, GA 317020505
Phone: (229) 889-9367
Fax: (229) 317-0678
Type: Mailing
Thomas Hilsman, MD, 2201, Dawson Road, Merry Acres, Albany, Dougherty County, Georgia, 31707, United States
ALBANY, GA 317077220
Phone: (229) 883-1905
Fax: (229) 317-0678
Type: Location
771 ROUNDTREE DR SW STE A
DAWSON, GA 398421683
Phone: (229) 270-1905
Fax: (229) 270-1915
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (889 days ago).
Enrollment records
1
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111201000093 | I | Family Practice | GA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 241 | 113 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 126 | 116 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 102 | 94 | $0 |
| 81003 | Automated urinalysis test | 80 | 64 | $0 |
| 83036 | Hemoglobin a1c level | 31 | 21 | $0 |
Insurance plans in this area (ZIP 31702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Emergency Medicine, Internal Medicine | NY | |
| Family Practice, General Surgery | GA | |
| Hospitalist, Internal Medicine | GA | |
| Obstetrics/Gynecology, Interventional Pain Management | GA | |
| Family Practice | IL | |
| Family Practice | GA | |
| General Practice | GA | |
| Family Practice | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA |
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