NPPES file of Aug 9, 2026

Jonathan Andrew Hilton, M.D.

Emergency Medicine Physician · Newark, DE

Jonathan Andrew Hilton, M.D. is an emergency medicine physician with a practice address in Newark, Delaware, and NPI 1609238732, issued on Mar 28, 2016. Check the license (Delaware C1-0012703, as entered in NPPES) on the Delaware Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1609238732
Name
Jonathan Andrew Hilton
Credential
M.D.
Primary taxonomy
Emergency Medicine Physician 207P00000X
License number
C1-0012703 DE
Self-reported in NPPES; status is on the state search
Practice location
4755 Ogletown Stanton RD, Newark, DE 19718
Phone
(302) 733-1042
Enumerated
Mar 28, 2016
Record last updated
Mar 4, 2020 (not updated in 6 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20190905002439); accepts Medicare assignment
Medical or professional school
Pennsylvania State University College Of Medicine, 2016
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 4755 Ogletown Stanton RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Paolo Abiad, M.D.Student in an Organized Health Care Education/Training Program1376487736
  2. Jessica AddisStudent in an Organized Health Care Education/Training Program1043950389
  3. Mary Adebanjo, RNMedical-Surgical Registered Nurse1972342681
  4. Gounathan Adly, PHARMDStudent in an Organized Health Care Education/Training Program1215357082
  5. Inongo Agbormbai, DOStudent in an Organized Health Care Education/Training Program1497515654
  6. Mansoor Ahmad, MDInterventional Cardiology Physician1184014102

Verify Jonathan Andrew Hilton in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersDelaware Board of Medical Licensure and Discipline
    Search for license C1-0012703
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Delaware license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.3 times the Medicare Part D claims of the average emergency medicine physician in 2024

517 Medicare Part D claims for 340 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. 70 claims were for opioids.

  1. Jonathan Hilton517
  2. Specialty average226

Most prescribed

  1. Hydrocodone-Acetaminophen46 claims
  2. Cephalexin43 claims
  3. Ondansetron Odt40 claims
  4. Naproxen35 claims
  5. Methylprednisolone34 claims
  6. Prednisone32 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 78.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score75.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Sussex Emergency Associates LLCLewes, DE

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jonathan Andrew Hilton among 243 emergency medicine physician records in Delaware

Jonathan Andrew Hilton, M.D. is one of 243 emergency medicine physician records with a practice address in Delaware. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 63% of them.

  • NPI issued2016 · 63% of these records are older, 35% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 51% of these records are
  • Graduated2016 · median 2010 among the 123 with a school on file
  • Record last updated2020 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Delaware practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

142 emergency medicine physician records list a practice address in Newark

They are 142 of the 4,662 NPPES records with a practice address in Newark, and 243 emergency medicine physician records in Delaware.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. Paul Anderson, MDNewark, DE 197181003894817
  2. Brian Burgess, MDNewark, DE 197181013995828
  3. Leo Burns, MDNewark, DE 197181083692792
  4. Cory Carpenter, MDNewark, DE 197181285612093
  5. James Carroll, MDNewark, DE 197181295713006
  6. Angelo Grillo, MDNewark, DE 197181891773602
  7. Anita Hodson, MDNewark, DE 197181194703900
  8. Steven Kushner, MDNewark, DE 197181306824107

Common questions

What is Jonathan Andrew Hilton, M.D.'s NPI number?

Jonathan Andrew Hilton, M.D.'s National Provider Identifier (NPI) is 1609238732, issued on Mar 28, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Jonathan Andrew Hilton, M.D. located?

The NPPES record lists a practice address at 4755 Ogletown Stanton RD, Newark, DE, 19718. Phone: (302) 733-1042. Providers update this record themselves, so call before visiting.

How can I verify Jonathan Andrew Hilton, M.D.'s license?

NPPES lists Delaware license number C1-0012703, as entered by the provider. Search the Delaware Board of Medical Licensure and Discipline at https://delpros.delaware.gov/OH_VerifyLicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Jonathan Andrew Hilton, M.D. prescribe under Medicare Part D?

In 2024, Jonathan Andrew Hilton, M.D. had 517 Medicare Part D claims for 340 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is Jonathan Andrew Hilton, M.D.'s MIPS final score?

The 2023 MIPS final score is 78.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.