RICHARD M HILBORN (M.D.) – Orthopaedic Surgery Physician, NPI 1639164023

RICHARD M HILBORN (M.D.) is a healthcare provider. based in Texarkana, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. H1783 (TX). The NPI Number for RICHARD M HILBORN (M.D.) is 1639164023

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD M HILBORN (M.D.)
NPI
1639164023
Phone
(903) 614-3000
Address
5002 COWHORN CREEK RD
Enumeration Date
13 September 2005
Last Update Date
9 October 2013

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9036145530
Graduation Year
1979 (47 years ago)
PAC ID
9032125109
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20100811000819
Address ID
TX755032320TE2602XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,189 ORTHOPEDIC SURGERY in TX

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Provider Addresses for RICHARD M HILBORN (M.D.)

  • 5002, Cowhorn Creek Road, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755039766

    Phone: (903) 614-3000

    Fax: (903) 614-3525

    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: 2010-08-11

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
I20100811000819IOrthopedic SurgeryTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes193151$0
20610Aspiration and/or injection of fluid from large joint165104$0
99214Established patient office or other outpatient visit, 30-39 minutes134104$0
99204New patient office or other outpatient visit, 45-59 minutes6363$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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Provider's Procedures

RICHARD M HILBORN (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYTX27447Repair of knee joint1514
ORTHOPEDIC SURGERYTX73110X-ray of wrist, minimum of 3 views5831

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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

What unique ID ties claims to RICHARD M HILBORN (M.D.)?
NPI 1639164023 is assigned to RICHARD M HILBORN (M.D.) under the national enumeration system.
Is RICHARD M HILBORN (M.D.)'s NPI currently valid?
The extract we use shows RICHARD M HILBORN (M.D.) as active.
Can you summarize RICHARD M HILBORN (M.D.)'s specialty in plain language?
Clinically, the directory lists RICHARD M HILBORN (M.D.) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does RICHARD M HILBORN (M.D.) practice in Texas?
You will see Texarkana, Texas on file for RICHARD M HILBORN (M.D.) alongside any extra practice locations.
What if Texarkana, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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