KELLEN A HILTON (MD) – Physical Medicine & Rehabilitation Physician, NPI 1871080879

KELLEN A HILTON (MD) is a healthcare provider. based in Boise, Idaho. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. MRM-1704 (ID). The NPI Number for KELLEN A HILTON (MD) is 1871080879

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KELLEN A HILTON (MD)
NPI
1871080879
Phone
(208) 422-1314
Address
500 W FORT ST # 111R
Enumeration Date
16 April 2018
Last Update Date
25 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
6800151747
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20230914001644
Address ID
UT846043311PR395XXBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

64 PHYSICAL MEDICINE AND REHABILITATION in ID

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Provider Addresses for KELLEN A HILTON (MD)

  • 111, West Fort Street, Boise, Ada County, Idaho, 83702, United States

    BOISE, ID 837024599

    Phone: (208) 422-1314

    Fax: (208) 422-1388

    Type: Mailing

  • 412 W 800 N

    Orem, UT 840573728

    Phone: (801) 235-7246

    Fax: (801) 225-1525

    Type: Location

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • 395 W COUGAR BLVD STE 803

    PROVO, UT 846043311

    Phone: (801) 235-7246

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,205.

Total Amount is formed as General ($1,205) + Research ($0) + Ownership ($0) = $1,205.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Medtronic, Inc. ($359).

Total Amount

$1,205

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,205

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230914001644IPhysical Medicine And RehabilitationUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850209420View full group profile

Reviews

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Frequently asked questions

What federal number belongs to KELLEN A HILTON (MD)?
The federal identifier for KELLEN A HILTON (MD) is NPI 1871080879.
Is KELLEN A HILTON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KELLEN A HILTON (MD)'s specialty in plain language?
Clinically, the directory lists KELLEN A HILTON (MD) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where is KELLEN A HILTON (MD)'s primary listing?
We display Boise, Idaho because that is what the record indicates for KELLEN A HILTON (MD).
Is KELLEN A HILTON (MD) a real provider?
This page reflects official NPPES data for NPI 1871080879. Always confirm identity and privileges with the practice and licensing boards.

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