DR. JOHN EDWIN HILSABECK (M.D.) – Family Medicine Physician, NPI 1174503957
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,656 FAMILY PRACTICE in IA
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Provider Addresses for DR. JOHN EDWIN HILSABECK (M.D.)
Avera Medical Group Spencer, 116, East 11th Street, Spencer, Clay County, Iowa, 51301, United States
SUITE 101
SPENCER, IA 513014364
Phone: (712) 264-3500
Fax: (712) 264-3535
Mailing address matches the actual address.
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: 2010-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100527000084 | I | Family Practice | IA | TBD |
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.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 465 | 283 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 438 | 286 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 170 | 25 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 86 | 79 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 70 | 66 | $0 |
Insurance plans in this area (ZIP 51301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Family Practice, Emergency Medicine | IA | |
| Medical Oncology | MN | |
| Physical Therapist In Private Practice | IA | |
| Family Practice, Hospitalist | IA | |
| Family Practice | IA | |
| Family Practice | SD | |
| Nurse Practitioner | IA | |
| General Practice | KS |
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