Dr. Mark R Hilty , MD
Internal Medicine • Fall River, MA
363 Highland Ave
Fall River, MA 027203703
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 4, 2005; this date does not establish years in practice.
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Published CMS data list 36 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 11042 — Removal of skin and tissue, 20.0 sq cm or less: 36 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 183 Medicare Part D prescriptions, including refills, in 2017.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017. Published rows only; this is not a quality measure.
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Published Part D records, 2017:
- Losartan Potassium — 35 prescription fills, including refills.
- Atorvastatin Calcium — 30 prescription fills, including refills.
- Amlodipine Besylate — 22 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 717 in 2020 to 36 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2021.
Practice Location & Contact Primary Location
363 Highland Ave
Fall River, MA 027203703
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $2,260 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
Paid by Medicare
About $1,612 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
30-day fills
361 standardized 30-day fills in 2017
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,695 in 2017
The total cost of these prescriptions in 2017, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2017.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Hilty has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Hilty as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fall River and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Hilty are from 2021.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Hilty are from 2017.
62 active clinicians are listed under Internal Medicine with a practice address in Fall River, MA (6,830 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fall River
45.2% of these 62 clinicians have the CMS telehealth indicator.
72.6% of these 62 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 95% from 717 in 2020 to 36 in 2021.
- 2020: 717
- 2021: 36
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Medicare-allowed amount
Medicare-allowed amount decreased 95% from $41,289 in 2020 to $2,260 in 2021.
- 2020: $41,289
- 2021: $2,260
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Paid by Medicare
Paid by Medicare decreased 95% from $33,122 in 2020 to $1,612 in 2021.
- 2020: $33,122
- 2021: $1,612
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 96% from 4,070 in 2013 to 183 in 2017.
- 2013: 4,070
- 2014: 4,252
- 2015: 3,947
- 2016: 3,253
- 2017: 183
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30-day fills
30-day fills decreased 94% from 6,288 in 2013 to 361 in 2017.
- 2013: 6,288
- 2014: 6,852
- 2015: 6,659
- 2016: 5,863
- 2017: 361
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Part D drug cost
Part D drug cost decreased 99% from $194,672 in 2013 to $1,695 in 2017.
- 2013: $194,672
- 2014: $201,666
- 2015: $151,944
- 2016: $123,000
- 2017: $1,695
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2017), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2020–2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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11042
Removal of skin and tissue, 20.0 sq cm or less
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36 | 13 | $326.00 | $62.79 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2017.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Losartan Potassium | Losartan Potassium | 35 | 1,590 | $212.91 | 15 |
| Atorvastatin Calcium | Atorvastatin Calcium | 30 | 1,976 | $489.11 | 20 |
| Amlodipine Besylate | Amlodipine Besylate | 22 | 1,500 | $144.83 | 13 |
| Lisinopril | Lisinopril | 20 | 1,620 | $176.06 | 12 |
| Metformin Hcl | Metformin Hcl | 20 | 1,140 | $112.50 | — |
| Omeprazole | Omeprazole | 19 | 1,046 | $208.69 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 14 | 900 | $92.84 | — |
| Simvastatin | Simvastatin | 12 | 660 | $57.29 | — |
| Fluticasone Propionate | Fluticasone Propionate | 11 | 390 | $200.74 | — |
Source: CMS Part D by Provider and Drug, 2017; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-04-29NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20041005000531
MA
2365401536
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Infectious Disease
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 363 HIGHLAND AVE, FALL RIVER, MA 027203703 (Tel: 5089737447)
NPI status registered as active in NPPES database
Registered at 534 PROSPECT ST, FALL RIVER, MA 027205239 (Tel: 5089737766)
Registered at 200 MILL RD, STE 180, FAIRHAVEN, MA 027195252 (Tel: 5089732000)
Recorded as MARK HILTY, MD
Internal Medicine (license number reported to NPPES: MA 81533)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Fall River
- Dr. Tricia Carty, MD
- Dr. Debbie-Ann Tan, MD
- Dr. Harold Contreras Martinez, MD
- Dr. Hany Mistikawy, MD
- Dr. Kate Mayans, MD
- Dr. Yujin Nah, MD
Mailing Address
200 Mill Rd, Ste 180
Fairhaven, MA 027195252
Phone: 5089732000