Richard Hillesheim, M.D.
NPI 1295269660 · Orthopaedic Surgery Physician · Bristol, TN
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Hillesheim, M.D. is a Orthopaedic Surgery Physician provider in Bristol, TN (NPI 1295269660).
Provider details
- NPI number
- 1295269660
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01087784 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
398 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 89 | $114 |
| X-Ray of Hand, Minimum of 3 Views73130 | 64 | $33 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 62 | $82 |
| Injection Into Tendon Or Ligament20550 | 36 | $50 |
| X-Ray of Wrist, Minimum of 3 Views73110 | 33 | $37 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 33 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 123 | 43 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 63 | 58 |
| Ondansetron Hcl | 53 | 52 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 23 | 18 |
| Diclofenac Sodium | 15 | — |
| Methylprednisolone | 14 | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$326 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2410 Susannah StJohnson City, TN 37601-1748Phone: (423) 282-9011Fax: (423) 282-0035
Registry dates
- Enumerated
- 2017-04-12
- Last updated
- 2023-08-11
- Certified
- 2023-08-11
Frequently asked questions
- What is Richard Hillesheim's NPI number?
- Richard Hillesheim's National Provider Identifier (NPI) is 1295269660, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Hillesheim's specialty?
- Richard Hillesheim is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Hillesheim located?
- Richard Hillesheim's practice location on file with NPPES is 340 Steeles Rd, Bristol, TN 37620-9532.
- What is Richard Hillesheim's phone number?
- The practice phone number listed in the NPPES registry for Richard Hillesheim is (423) 282-9011.
- Does Richard Hillesheim accept Medicare?
- Richard Hillesheim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Hillesheim's NPI active?
- Yes — Richard Hillesheim's NPI (1295269660) is active in the NPPES registry as of the last update on 2023-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.